Using Alternative Natural Therapies: Prescribing Rules for PTSD in QLD

Post‑Traumatic Stress Disorder (PTSD) can significantly affect emotional wellbeing, physical health, and daily functioning. In Queensland, many people living with PTSD experience ongoing challenges such as flashbacks, anxiety, disrupted sleep, and difficulty concentrating. PTSD may develop after a single traumatic event or repeated exposure to high‑stress situations, including combat, domestic violence, or serious accidents.

Standard treatment options usually include psychological therapies such as cognitive behavioural therapy (CBT) or EMDR, medication support, and trauma‑informed care plans. These approaches are typically the first step in managing symptoms. However, for some individuals, standard treatments do not provide enough relief. In these cases, regulated alternative natural therapies may be considered as part of a broader care approach.

What Qualifies a Patient for an Alternative Therapy Pathway?

Access to unregistered therapeutic options in Queensland is not automatic. A healthcare practitioner must determine that a person’s PTSD symptoms have not improved sufficiently with conventional treatment and continue to significantly affect their quality of life.

Many people ask whether a formal PTSD diagnosis is required. While a diagnosis can be helpful, the most important factor is a clear clinical history. This includes:

• How long symptoms have been present
• How severe they are
• Which treatments have already been tried
• How much benefit those treatments have provided

Individuals who have undertaken several forms of therapy, medication, or trauma‑focused support with limited improvement may be considered for alternative care pathways. Supporting documents such as mental health care plans, referral letters, and previous treatment records help clinicians assess suitability.

The Role of the TGA in Regulating Access to Queensland

In Australia, access to therapies not listed on the Australian Register of Therapeutic Goods (ARTG) is controlled by national rules. Approved pathways include the Special Access Scheme (SAS‑B) and the Authorised Prescriber (AP) model.

Clinicians applying through these pathways must provide a clear clinical reason and show that standard treatments have not been sufficient. The Therapeutic Goods Administration (TGA) looks at each application on its own. For PTSD, applications must outline symptom history, previous care, and why the proposed alternative natural therapy is considered appropriate.

This system is designed to ensure that unregistered therapies are used responsibly, with proper oversight and monitoring.

Can a GP Prescribe Alternative Natural Therapies for PTSD?

Yes. General practitioners in Queensland may assess patients and apply for access to alternative natural therapies that are not listed on the ARTG. The prescribing clinician is responsible for making sure that:

• The treatment decision is clinically justified
• Risks and benefits are explained in clear, understandable terms
• A follow‑up and monitoring plan is in place

Some patients ask whether specialist input is required. While psychiatric input can be valuable, a GP with appropriate mental health experience may manage the process, particularly when working alongside psychologists or allied health providers.

Telehealth assessments are now widely accepted and commonly used. For many people in regional or remote parts of Queensland, online consultations improve access to care. As long as assessments are thorough and properly documented, telehealth consultations meet regulatory standards.

What to Expect During a PTSD Assessment

The assessment process is comprehensive and patient‑focused. It typically includes:

• A detailed discussion of current symptoms
• How PTSD is affecting daily life
• Mental health and medical history
• A review of previous treatment experiences

Clinicians may ask:

• When did your symptoms begin, and what tends to trigger them now?
• Which therapies or medications have you tried?
• How are sleep, memory, and relationships affected?
• Have you experienced any side effects from past treatments?

There is no single checklist. The assessment centres on treatment resistance, overall well-being, and whether the proposed alternative natural therapy fits within a trauma-informed care approach.

How Follow‑Up Care Works for PTSD

Alternative natural therapies accessed through regulated schemes require regular follow‑up. Ongoing monitoring allows clinicians to:

• Check whether the therapy is helping
• Identify any concerns or side effects early
• Adjust the treatment plan when needed

Patients are often encouraged to track changes in:

• Symptoms and triggers
• Sleep quality
• Mood stability and emotional regulation
• Concentration and day‑to‑day functioning

Follow‑up appointments are usually scheduled in advance to support continuity of care.

Treatment plans may change over time. In some cases, therapies are adjusted or paused. In others, they are combined with counseling or allied health support to improve outcomes.

State Guidelines and Clinical Responsibilities

Queensland follows national regulatory requirements while also maintaining extra expectations for healthcare providers. These include:

• Current AHPRA registration for prescribers
• Thorough clinical documentation
• Informed consent processes
• Ethical prescribing practices

There is no statewide registry specifically for people accessing alternative natural therapies for PTSD. However, clinicians must keep detailed clinical records and provide treatment information when requested by regulatory bodies.

Telehealth clinics are subject to the same professional and regulatory standards as in‑person services. The mode of delivery does not change the obligation to provide safe, ethical, and compliant care.

Considering Alternative Natural Therapies for PTSD

In carefully selected cases, alternative natural therapies may be considered for people living with long‑term PTSD when standard treatments have not been effective. Each case is reviewed by both the prescribing clinician and the TGA to ensure that the approach is appropriate.

These therapies are available only through approved medical pathways. Products obtained outside regulated systems, including over‑the‑counter or imported items, are not permitted for this purpose under Australian law.

When approved, alternative natural therapies are generally used alongside ongoing psychological care, rather than as a replacement. Regular review, clear communication, and sound clinical judgement remain essential.

Things to Consider Before Starting the Process

Before seeking an assessment, it is helpful to think about:

• Which treatments you have already tried
• Whether symptoms are still affecting daily life
• How PTSD impacts work, study, relationships, and sleep

Although a gap in treatment history does not automatically prevent access, it usually requires current clinical information and ongoing mental health support.

It is also important to understand that alternative natural therapies are not subsidised by Medicare or the Pharmaceutical Benefits Scheme (PBS). Costs may include:

• Initial assessment and follow‑up appointments
• The therapy itself
• Pharmacy and delivery fees

Talking about likely costs early in the process helps set realistic expectations and supports informed decision‑making.

Disclaimer:This content is for general information only and is not a substitute for medical advice. Always consult a qualified healthcare professional before starting any treatment.