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In the wake of the COVID-19 pandemic there was a shift from in-person to remote delivery of psychotherapy. Because of the increase in demand for trauma-focused treatment in trauma-affected areas, practitioners have been able to facilitate TF-CBT virtually. [40] Virtual TF-CBT therapy is more cost effective and has increased access to psychotherapy.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [1] [2] [3] 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.
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]
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.
Cognitive behavioral therapy interventions may have some benefits for people who have post-traumatic stress related to surviving rape, sexual abuse, or sexual assault. [145] There is strong evidence that CBT-exposure therapy can reduce PTSD symptoms and lead to the loss of a PTSD diagnosis. [146]
There is some evidence that EMDR can be as effective as trauma focused cognitive behavioral therapy (TF-CBT) for treating PTSD, though concerns have been raised about the poor quality of the underlying studies. [4] [24] In a 2021 systematic review of 13 studies, clients had mixed perceptions of the effectiveness of EMDR therapy. [33]
PTSD is characterized by the re-experiencing of the traumatic event through intrusive and upsetting memories, nightmares, flashbacks, and strong emotional and physiological reactions triggered by reminders of the trauma. Most individuals with PTSD try to ward off the intrusive symptoms and avoid the trauma-reminders, even when those reminders ...
In recent years, schema therapy has also been adapted for use in forensic settings, complex trauma and PTSD, and with children and adolescents. Schema therapy is an integrative psychotherapy [ 1 ] combining original theoretical concepts and techniques with those from pre-existing models, including cognitive behavioral therapy , attachment ...