This case is a composite of several different patients and is for illustrative purposes only. The patient's name has been changed to protect anonymity.
Keyna is a 40 year old female who served overseas in the military with 2 tours in Afghanistan. She suffered PTSD, "traumatic brain injury" (TBI), depression, and anxiety after her tour and was first seen in the VA system 14 years ago. Since then she has struggled with her symptoms despite being tried on numerous antidepressants and other medications prescribed by the VA. She also suffered chronic pain from injuries sustained during her deployment.
Dr Jesalva is a psychiatrist. He is in private practice in Thousand Oaks, CA since 1989. He successfully treats very challenging patients with varying co-occurring disorders with medications.