{ "version": "1.0.0", "segments": [ { "speaker": "Leah Bucholz", "startTime": "7.04", "endTime": "33.53", "body": "Hey, guys. It's Leah B here from Prestige Veteran Medical Consulting. I'm a US Army veteran, physician assistant, and former CMP examiner. So if you have PTSD and you have developed high blood pressure, sleep problems, IBS, migraines, chronic pain, even autoimmune systems, you've probably wondered to yourself, is this all connected, or is that just something people say? K?" }, { "speaker": "Leah Bucholz", "startTime": "33.53", "endTime": "56.524998", "body": "Today, I'm gonna explain what the science actually shows about PTSD and physical health from a medical standpoint. Just a disclaimer, this is educational only, not legal advice for a claim strategy. Consult an accredited legal professional. So let's talk about what's really happening in the body. So first, PTSD is not just psychological." }, { "speaker": "Leah Bucholz", "startTime": "57.0", "endTime": "72.565", "body": "K? One of the biggest misconceptions is that PTSD, post traumatic stress disorder, is purely mental. It is not. PTSD is a neurobiological condition. It affects tons of things, k, like the brain." }, { "speaker": "Leah Bucholz", "startTime": "72.565", "endTime": "97.82", "body": "Right? So we know it affects the brain, the autonomic nervous system, that, fight or flight, right, hormone regulation, the immune system. When someone experiences trauma, the body activates the stress response system, specifically the HPA axis. That's the hypothalamic pituitary adrenal axis. This system regulates cortisol, your primary stress hormone." }, { "speaker": "Leah Bucholz", "startTime": "98.685005", "endTime": "110.365005", "body": "In PTSD, this system becomes dysregulated. Alright? So and that's where physical consequences can begin. So chronic stress physiology. Let's talk about that." }, { "speaker": "Leah Bucholz", "startTime": "110.365005", "endTime": "123.240005", "body": "So under normal conditions, stress activates cortisol. Cortisol helps you respond. The system turns off. And PTSD, your off switch doesn't necessarily work properly. Okay?" }, { "speaker": "Leah Bucholz", "startTime": "123.240005", "endTime": "146.78001", "body": "The body remains in a state of heightened symptomatic active activation, what we call that fight or flight. I know a lot of you guys out there have experienced this. I hear it all the time from my, fellow veteran brothers and sisters. Right? Chronic symp sympathetic activation leads to things like elevated heart rates, increased blood pressure, sleep disruption, increased inflammatory signaling in the body." }, { "speaker": "Leah Bucholz", "startTime": "147.02", "endTime": "163.32501", "body": "Over time, this has systemic or whole body effects. Okay? So PTSD and cardiovascular disease. There is strong evidence linking PTSD with things like hypertension. We have a number of videos on on this kind of stuff if you search through the channel." }, { "speaker": "Leah Bucholz", "startTime": "163.32501", "endTime": "184.155", "body": "Right? So hypertension, increased cardiovascular risk, higher rates of coronary artery disease. K? Why? Because chronic stress promotes things like endothelial, dysfunction, increases inflammatory cytokines, elevates things like catecholamines." }, { "speaker": "Leah Bucholz", "startTime": "184.155", "endTime": "203.3", "body": "So I know these are are kinda terms that a lot of you guys might not be familiar with, but these are things that are going on in your body. It can impact vascular tone. This doesn't mean that PTSD automatically causes heart disease, but it does increase physiologic stress on the cardiovascular system. That's an important distinction. Alright?" }, { "speaker": "Leah Bucholz", "startTime": "203.3", "endTime": "217.835", "body": "That's important thing for you guys to realize. So PTSD and migraines. I see this all the time. Right? Migraines are often associated with things like autonomic instability, neural inflammation, central sensitization." }, { "speaker": "Leah Bucholz", "startTime": "218.235", "endTime": "235.28", "body": "PTSD can contribute to all three of those things. Chronic hyperarousal alters pain processing pathways in the brain. It can increase sensitivity to stimuli. It disrupts sleep. That's a major trigger for migraines." }, { "speaker": "Leah Bucholz", "startTime": "235.59999", "endTime": "256.67", "body": "Again, not every migraine is gonna be caused by PTSD, and PTSD is not gonna cause migraines in in everybody that suffers from it. But the neurobiological overlap is real. We've got some great videos on the channel about PTSD and migraines, so check those out as well. PTSD and the immune system. Here's where it gets very interesting." }, { "speaker": "Leah Bucholz", "startTime": "256.83", "endTime": "278.11502", "body": "Chronic stress can affect immune modulation. Research shows that PTSD can be associated with things like increased inflammatory markers, altered cytokine levels, immune dysregulation. The immune system and the nervous system are deeply connected. K? Prolonged stress signaling can shift immune balance." }, { "speaker": "Leah Bucholz", "startTime": "279.08", "endTime": "297.775", "body": "Now that doesn't mean that PTSD directly causes autoimmune disease in every case. Alright? But there's a lot of research out there that supports this these relationships. And, again, I have a lot of videos on specific autoimmune type diseases and stress relationship. And in a lot of those videos, I discuss, a lot of research as well." }, { "speaker": "Leah Bucholz", "startTime": "298.01498", "endTime": "333.02502", "body": "So autoimmune conditions are multifactorial and often genetically influenced, but stress can act as a con a contributing environmental factor in susceptible individuals. So nuance matters in these cases. PTSD and sleep disorders. I mean, we've gone on and on about these in the past, but PTSD almost universally, disrupts sleep, can cause hypervigilance, nightmares, insomnia, increased sympathetic tone. Poor sleep then contributes to things like hypertension, metabolic dysfunction, weight gain." }, { "speaker": "Leah Bucholz", "startTime": "333.345", "endTime": "346.88998", "body": "Right? And and not just the weight gain can cause a million other things. Insulin resistance. Sleep disruption becomes a mediator between PTSD and physical illnesses. So it's not just psychological." }, { "speaker": "Leah Bucholz", "startTime": "346.88998", "endTime": "366.16", "body": "It's physiologic. So important thing for you guys to think about is correlation versus causation. So let's just ground this for for a second. Just because PTSD is associated with physical conditions does not mean it automatically causes them. Medicine operates in probabilities." }, { "speaker": "Leah Bucholz", "startTime": "366.4", "endTime": "378.45502", "body": "Most chronic illnesses are multifactorial. That's just the truth. There's multiple contributing factors. Things like genetics are gonna play a role. Age is gonna play a role." }, { "speaker": "Leah Bucholz", "startTime": "378.535", "endTime": "405.85", "body": "Lifestyle choices. Other environmental factors, preexisting medical conditions, they're they're just all gonna interact. So a strong medical analysis is gonna look at kind of the temporal relationship between those things. So risk factor burden, severity patterns, plausibility. It doesn't just it just doesn't say stress causes everything." }, { "speaker": "Leah Bucholz", "startTime": "406.065", "endTime": "422.24", "body": "K? We have to have, like, a more thoughtful, basis for our opinions. That just oversimplifies complex physiology to just say it without explaining. So what does that mean medically? So from a medical standpoint, PTSD is a systemic condition." }, { "speaker": "Leah Bucholz", "startTime": "422.31998", "endTime": "449.4", "body": "It affects things like neuroendocrine regulation, autonomic balance, inflammatory pathways, sleep architecture. Those systems influence the entire body. But whether PTSD caused or aggravated a specific physical illness requires individualized medical analysis. There's so many variables in every person. We can't just blanket say, you know, it's just it's very individualized." }, { "speaker": "Leah Bucholz", "startTime": "450.19998", "endTime": "466.235", "body": "The bigger takeaway is that if you have PTSD and physical health problems, you're not imagining the connection. The brain and body are not separate systems. They are integrated. Right? So but the relationship must be evaluated thoughtfully, not emotionally, and not generically." }, { "speaker": "Leah Bucholz", "startTime": "466.955", "endTime": "504.94", "body": "That's where structured medical reasoning becomes important. So, again, check out some of those individualized videos, and and you can get more data on, you know, some of the research that we put together that we we look up and we use in our opinions that might be helpful for you and your doctor if you're taking a look at at this as well. So, again, it's just not it's not just it's it's not just physical or emotional. It's a neurobiological condition with systemic effects. Understanding that helps just remove stigma and improves clarity about what's happening in the body." }, { "speaker": "Leah Bucholz", "startTime": "504.94", "endTime": "523.605", "body": "If you found this helpful, please like and subscribe. I regularly break down complex VA disability topics from a medical perspective so you can better understand how conditions are evaluated. Again, this is for educational purposes only, not legal advice. Please, drop some comments if you guys have any questions. And as always, thank you for watching." }, { "speaker": "Leah Bucholz", "startTime": "523.605", "endTime": "524.40497", "body": "Talk to y'all later." } ] }