title: Antidepressant treatment, posttraumatic stress disorder, survivor guilt, and spiritual awakening.
abstract: A patient with posttraumatic stress disorder (PTSD) had a major depressive episode that was responsive to treatment with the antidepressant fluoxetine. In contrast to the remission of other symptoms of depression, the associated feature of survivor guilt became more dramatically obvious. Individualized treatment of survivor guilt may be needed for patients with PTSD and major depression.
authors.affiliation: V.A. Medical Center, Manchester, New Hampshire 03104-4098, USA.
authors.forename: H R
authors.initials: HR
authors.lastname: Khouzam
authors.forename: P
authors.initials: P
authors.lastname: Kissmeyer
mesh_terms: D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use*; D001364:Awareness; D003130:Combat Disorders / Q000188:drug therapy* / Q000523:psychology; D003131:Combined Modality Therapy; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000188:drug therapy* / Q000523:psychology; D005473:Fluoxetine / Q000627:therapeutic use*; D006167:Guilt; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011613:Psychotherapy; D012069:Religion and Psychology; D013534:Survival / Q000523:psychology*; D014728:Veterans / Q000523:psychology*; D014744:Vietnam
chemical_list: D018687:Antidepressive Agents, Second-Generation; D005473:Fluoxetine