Grounded | The Vestibular Podcast

131. Do I need to take an SSRI or SNRI for PPPD?


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Taking an SSRI or SNRI is considered the gold standard for PPPD treatment. But is it?

Honestly, it depends. (And you know we’re gonna take a look at the research!)

A lot of people are really sensitive to medication or simply don’t want to take it.

And while you don’t need to take medication—it could be helpful. It could also not be helpful.

To get to the best answer for your unique situation, it involves considering your specific wants and needs, goals, and timeline.

In this episode, we’ll dig into:

  • What the research says about the efficacy of SSRIs and SNRIs for treating PPPD
  • Why SSRI/SNRIs are being considered as a treatment tool to begin with
  • The relationship between our nervous system and dizziness
  • Real world examples of how your brain tries to protect you
  • New module that’s coming to Vestibular Group Fit this year
  • How an SSRI or SNRI can help treat PPPD
  • Things to do aside from meds to help regulate the nervous system
  • The first step of better managing PPPD
  • No, you can’t think your way out of chronic dizziness, but your brain and the way you’re thinking about things does have a big impact on your vestibular disorder.

    There is no right or wrong way to go about treating PPPD, vestibular migraine, or any other vestibular disorder.

    And… it’s expected for things to be changing and shifting as you try treatment methods, learn new things, or other goals or priorities force you to change your plan a bit.

    Things can get better! I see it every week inside Vestibular Group Fit! We’d love to see you in there.

    Links Mentioned:

    • Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
    • Citations:

      • Maximilian Maywald, Oliver Pogarell, Susanne Levai, Marco Paolini, Nadja Tschentscher, Boris Stephan Rauchmann, Daniela Krause, Sophia Stöcklein, Stephan Goerigk, Lukas Röll, Birgit Ertl-Wagner, Boris Papazov, Daniel Keeser, Susanne Karch, Agnieszka Chrobok,Neurofunctional differences and similarities between persistent postural-perceptual dizziness and anxiety disorder,NeuroImage: Clinical,Volume 37,2023,103330,ISSN 2213-1582, https://doi.org/10.1016/j.nicl.2023.103330. (https://www.sciencedirect.com/science/article/pii/S2213158223000190)
      • Bingel U, Wanigasekera V, Wiech K, Mhuircheartaigh RN, Lee MC, Ploner M, Tracey I. The effect of treatment expectation on drug efficacy: Imaging the analgesic benefit of the opioid remifentanil. Sci Transl Med. 2011;3 doi: 10.1126/scitranslmed.3001244.
      • Those with chronic pain undergoing pain reprocessing theory found relief in symptoms but also changes in brain activity (citation here)
      • Free Resources:

        • ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n
        • ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd
        • ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership
        • ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit
        • ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots
        • Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor

          Work with Dr. Madison:

          • For 1:1 Vestibular Rehabilitation Therapy, email [email protected]
          • Otherwise, I’ll see ya in Vestibular Group Fit!
          • Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/

            Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit

            Love what you heard?
            Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you!

            This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here.

            —————————————

            ssri vs snri, ssri for PPPD, snri for PPPD, medication for pppd, chronic dizziness, mindset shift, mindset and chronic illness, PPPD treatment options, dizzy anxious dizzy cycle, PPPD and anxiety, neuroplasticity, nervous system and dizziness, chronic pain, vestibular migraine and PPPD

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            Grounded | The Vestibular PodcastBy Dr. Madison Oak, PT, DPT

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