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Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [8] [9] [6] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
Its 2023 guideline for mental, neurological and substance use disorders recommended EMDR with moderate evidence for adults and children in treating PTSD. [35] The 2018 International Society for Traumatic Stress Studies practice guidelines "strongly recommend" EMDR as an effective treatment for post-traumatic stress symptoms. [36]
Most systematic reviews and clinical guidelines indicate that psychotherapies for PTSD, most of which are trauma-focused therapies, are more effective than pharmacotherapy (medication), [330] although there are reviews that suggest exposure-based psychotherapies for PTSD and pharmacotherapy are equally effective. [331]
A 50-year-old Caucasian male was the first veteran studied. The preliminary results concluded improvement post-treatment across all measures of PTSD and maintenance of the gains at the six-month follow up. Subsequent open clinical trial of Virtual Vietnam using 16 veterans, showed a reduction in PTSD symptoms. [46] [47]
TF-CBT is considered the gold standard for treating PTSD and related symptoms in children and adolescents exposed to trauma. [23] A meta analysis that examined 28 randomized control trials concluded that TF-CBT was an effective treatment and supported international guidelines that recommended its use as first-line treatment. [24]
Cognitive processing therapy (CPT) is a manualized therapy used by clinicians to help people recover from posttraumatic stress disorder (PTSD) and related conditions. [1] It includes elements of cognitive behavioral therapy (CBT) treatments, one of the most widely used evidence-based therapies. [2]
The Clinically Administered PTSD Scale (CAPS) is an in-person clinical assessment for measuring posttraumatic stress disorder (PTSD). [1] The CAPS includes 30 items administered by a trained clinician to assess PTSD symptoms, [2] including their frequency and severity. The CAPS distinguishes itself from other PTSD assessments in that it can ...
Complex post-traumatic stress disorder (CPTSD, or hyphenated C-PTSD) is a stress-related mental and behavioral disorder generally occurring in response to complex traumas [1] (i.e., commonly prolonged or repetitive exposures to a series of traumatic events, from which one sees little or no chance to escape). [2] [3] [4]
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