PTSD Medication Management in Oregon & Washington
Medically Reviewed By:
Medical Director:
Dr. Samuel “Joe” Cross-Sarvis DNP, FNP-C, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
What We Treat
When the Past Won't Stay in the Past
Post-traumatic stress disorder can develop after any experience that overwhelmed your sense of safety, such as combat, assault, an accident, a medical emergency, or long-term trauma. Months or years later, your body and brain may still react as if the danger never ended.
PTSD symptoms can include:
- Flashbacks, intrusive memories, or nightmares
- Feeling constantly on guard, jumpy, or easily startled
- Avoiding people, places, or conversations that bring back memories
- Trouble falling or staying asleep
- Irritability, anger, or emotional numbness
- Persistent guilt, shame, or a sense of detachment from others
Reach Out Today
What Is the Best Medication for PTSD?
There isn’t a single “best” PTSD medication for everyone. The best medication is the one that fits your symptoms, health history, and other conditions you may be managing. That’s why effective PTSD medication management starts with a careful psychiatric evaluation rather than a one-size-fits-all prescription.
Certain SSRIs and SNRIs are the most established medications for PTSD and can reduce intrusive memories, hyperarousal, anxiety, and depressed mood. When nightmares and sleep disruption are a major problem, your provider may consider additional medication specifically aimed at sleep-related symptoms. Because PTSD commonly occurs alongside depression, anxiety, insomnia, or substance use, your plan is built to address the full picture.
Approach + Philosophy
Our Approach
- Thorough evaluation of your symptoms, trauma-related triggers, sleep, and co-occurring conditions, at a pace that feels safe for you
- Targeted prescribing focused on the symptoms that affect your daily life most
- Careful monitoring at every follow-up, with dose adjustments or changes as needed
- Coordination with any trauma-focused therapist you’re working with, so medication and therapy support each other
We approach every conversation with trauma-informed care. You’ll never be pushed to share more than you’re ready to.
Get Help With Recovery Costs
Accepting Most Major Commercial Insurance Plans & are Available for New Patient Evaluations

















Our Process
How To Get Started
1. Book Online
2. Complete Your Evaluation
3. Start Feeling Better
Testimonials
Stories of Growth, Strength and Discovery
Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.
Emily HFrequently Asked Questions
Can medication cure PTSD?
How long until PTSD medication starts working?
Take the First Step Toward Feeling Safe Again
Schedule a confidential psychiatric evaluation by telehealth, from wherever you feel most comfortable.
Empowering your mental health
Begin Your Mental Health Journey
Fill out our contact form, and we will be in touch shortly.
Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.
Emily H