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Esketamine Can Trigger Trauma Re-Experiencing in PTSD

Photoreal illustration of a patient receiving nasal spray with overlay of trauma memory imagery, conveying esketamine + PTSD interaction.

A 2026 retrospective case series of 22 adults with treatment-resistant depression and comorbid PTSD found that trauma re-experiencing during intranasal esketamine disappeared over later sessions in 72.7% of patients, while 27.3% stopped esketamine because the flashbacks persisted.1 Research Highlights Flashbacks usually faded, but not always: In 16 of 22 patients (72.7%), esketamine-related trauma re-experiencing disappeared …

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1 mg Guanfacine for Self-Harm Thoughts in ADHD-PTSD-BPD Case

MHD featured image for 1 mg guanfacine and self-harm thoughts in complex ADHD, PTSD, BPD, and ASD comorbidity.

A 2026 case report linked 1 mg nightly guanfacine modified-release to first-ever cessation of intrusive deliberate self-harm thoughts in a 16-year-old with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) traits, borderline personality disorder (BPD) traits, and post-traumatic stress disorder (PTSD). The same case became more interesting after the patient stopped taking guanfacine and the self-harm …

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Astrocyte Calcium Signals Shape Amygdala Fear Memory and Extinction in Mice

Photoreal illustration of astrocytes interacting with neurons in the amygdala, conveying glial role in fear circuit dynamics.

A 2026 Nature mouse study found that basolateral amygdala astrocyte Ca2+ signals tracked fear retrieval and extinction, then showed causality: 3 mg/kg CNO manipulations of astrocyte DREADDs pushed early-extinction freezing in opposite directions while both disrupting later extinction retrieval.1 Research Highlights Astrocytes tracked fear state: after 3 tone-shock pairings and 2 days of 25 cue-only …

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PTSD Trauma Memories Are Encoded in Hippocampal Semantic Maps

Photoreal illustration of the hippocampus with semantic encoding pathways highlighted, representing trauma memory processing in PTSD.

A 2026 fMRI study of 79 women with interpersonal-violence-related PTSD found that the hippocampus does encode the meaning of autobiographical trauma narratives, t(140) = 4.05, p < 0.001, even though average hippocampal encoding did not rise for trauma vs. neutral memories. Research Highlights Hippocampal semantic encoding was significant: Cisler et al. analyzed 3,928 narrative sentences …

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Resting Brain Connectivity Predicts Fear Extinction Learning

Photoreal illustration of brain network connections in the fear-extinction circuitry, with imagery linking amygdala and prefrontal regions.

A 2026 multimodal MRI analysis of 509 healthy adults found that fear acquisition, extinction learning, and renewal were not predicted by one generic “fear circuit” score: functional connectivity predicted acquisition, structural connectivity predicted extinction, and effective connectivity was the only renewal signal.1 The extinction result is the clinically interesting piece because exposure therapy depends on …

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Posttraumatic Growth in Farsi Refugees: 61% Explained by 4 Factors

Photoreal illustration of refugees in community setting with imagery of resilience and growth, conveying integrated trauma adaptation.

A 2026 survey of 230 Farsi-speaking refugees in German camps found a hard double signal: 69.1% screened above the RHS-15 threshold for depression, anxiety, and PTSD symptoms, while 4 protective factors explained 61% of posttraumatic-growth variance.1 Research Highlights High distress and growth coexisted: 159 of 230 participants (69.1%) scored ≥12 on the RHS-15 symptom scale, …

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How Betrayal Biases Trust: Selective Attention, Distrust, and Social Judgment

Betrayal does not just make people less trusting. It can also change what they pay attention to afterward. After a negative social surprise, people may start scanning more closely for signs of threat, which can make distrust easier to confirm and harder to undo. Research Highlights Selective observation: Son and Yoo 2026 modeled social inference …

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