Introduction and Overview

Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer

This chapter provides an introduction to efficacious treatments for posttraumatic stress disorder (PTSD). Despite efficacy of these treatments, many patients do not respond to them or experience persistent symptoms. Efficacious psychotherapies for PTSD used at the Veterans Administration (VA), including prolonged exposure therapy and cognitive processing therapy, are described. While these treatments can be helpful, many patients are avoidant of trauma processing and homework. Furthermore, both treatments tend to focus on one central trauma, to which exposure exercises are targeted, whereas most Veterans experience multiple traumas. An overview of the development and framework of trauma-focused psychodynamic psychotherapy (TFPP), a PTSD-symptom focused brief psychodynamic therapy, is presented. A brief background of psychoanalytic and psychodynamic literature and thinking about trauma is provided to further frame the place of TFPP

2021 ◽  
Author(s):  
Shankari Sharma

Of the available treatments for Posttraumatic Stress Disorder (PTSD), Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), and pharmacotherapy are the protocols with the strongest research support. To investigate individuals’ preferences for treatment, participants were asked to read descriptions of CPT, PE, and pharmacotherapy, choose which one they think they would prefer should they require treatment, and rate their perceptions of treatment credibility. Two simultaneous studies were conducted: one with undergraduate and the other with online participants, and the latter had higher scores on measures of symptom distress. CPT was the first choice in both studies and was considered the most credible option. Undergraduate participants preferred PE as their second choice, while online participants picked pharmacotherapy. Undergraduate participants found PE to be more credible than pharmacotherapy, while online participants found them to be equally credible. Both groups chose psychotherapy alone as their first choice when given the option to combine psychotherapy and pharmacotherapy.


2021 ◽  
Author(s):  
Shankari Sharma

Of the available treatments for Posttraumatic Stress Disorder (PTSD), Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), and pharmacotherapy are the protocols with the strongest research support. To investigate individuals’ preferences for treatment, participants were asked to read descriptions of CPT, PE, and pharmacotherapy, choose which one they think they would prefer should they require treatment, and rate their perceptions of treatment credibility. Two simultaneous studies were conducted: one with undergraduate and the other with online participants, and the latter had higher scores on measures of symptom distress. CPT was the first choice in both studies and was considered the most credible option. Undergraduate participants preferred PE as their second choice, while online participants picked pharmacotherapy. Undergraduate participants found PE to be more credible than pharmacotherapy, while online participants found them to be equally credible. Both groups chose psychotherapy alone as their first choice when given the option to combine psychotherapy and pharmacotherapy.


CNS Spectrums ◽  
2013 ◽  
Vol 18 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Ellen M. Koucky ◽  
Benjamin D. Dickstein ◽  
Kathleen M. Chard

Cognitive-behavioral therapy (CBT) is currently the most empirically supported intervention for posttraumatic stress disorder (PTSD) and includes both specific manualized treatments (e.g., cognitive processing therapy, prolonged exposure) and less standardized applications. As CBT for PTSD has become increasingly popular, more advanced questions have emerged regarding its use, including how existing treatments might be enhanced. In the current review, we aimed to discover recent trends in the CBT for PTSD literature by applying rigorous search criteria to peer-reviewed articles published from 2009 to 2012. Results of the 14 studies that were identified are discussed, and future directions for research are suggested.


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