Pharmacological, Psychotherapeutic, and Combination Treatments in Adults With PTSD

This network meta-analysis compared 12 randomized clinical trials comprising 992 patients to assess the short- and long-term outcomes of psychotherapy, pharmacotherapy, and combination therapies for adults with posttraumatic stress disorder.
Source: JAMA Psychiatry - Category: Psychiatry Source Type: research

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   One of the most dangerous misconceptions about suicide is that asking a loved one if they are suicidal will increase the odds that they will attempt suicide.  Today Dr. Nate Ivers of Wake Forest University discusses the importance of making “the covert overt” by asking blunt, straightforward questions of those you suspect may be thinking about suicide.  What words should you use, and if the answer is yes, what should you do next?  And why are we so uncomfortable about asking these potentially lifesaving questions? Find out on this episode. SUBSCRIBE &REVIEW   Guest inform...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Grief and Loss Suicide The Psych Central Show Source Type: blogs
DiscussionThe EMPOWER study is unique in its application of evidence-based psychotherapy targeting peritraumatic stress to improve patient and caregiver outcomes in the setting of critical illness. The experimental intervention will be strengthened through the input of a variety of ICU stakeholders, including behavioral health clinicians, physicians, bereaved informal caregivers, and open trial participants. Results of the RCT will be submitted for publication in a peer-reviewed journal and serve as preliminary data for a larger, multisite RCT grant application.Trial registrationClinicalTrials.gov,NCT03276559. Retrospectiv...
Source: Trials - Category: Research Source Type: clinical trials
This article introduces the special issue in which we explore problems and limitations inherent both in the development and implementation of the American Psychological Association’s (APA) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults. As Chair (Christine A. Courtois) and member (Laura S. Brown) of the guideline development panel, we were in a unique position to observe how certain decisions made by the APA regarding how this guideline should be produced led to flaws in the final product. In this special issue, we address problems that may be inherent in many clinical practi...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive–behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology po...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
A variety of potential unrecognized ethical concerns arise from the American Psychological Association’s (APA, 2017) Clinical Practice Guideline for the Treatment of PTSD in Adults. In privileging short-term treatments that underscore symptom reduction as the predominant index of outcome, such as cognitive processing therapy and prolonged exposure, there is a susceptibility to mislead mental health professionals and clients alike to believe that lasting improvements in socioemotional well-being, and a time-intensive approach, are unrealistic, rather than realistic psychotherapy expectations. There are ethical implica...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
This article traces the evolution of clinical practice guidelines (CPGs) for the treatment of Posttraumatic Stress Disorder (PTSD) to illustrate how their construction and use have become intertwined and often conflated with other pressing clinical and scientific controversies. This review locates critical analysis of key documents regarding PTSD CPG construction within the context of longstanding tensions and frank competition about the relative value of science and clinical experience in the effort to establish best practices. As is true of so many dichotomies, the competition between science and clinical practice is mor...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
The American Psychological Association’s (2017) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults endorsed by the American Psychological Association notes that attention to cultural context is a required component of trauma-informed mental health care provision. Despite the inclusion of this statement, the Treatment of PTSD Guideline does not give adequate attention to culture in the defining of trauma, review of the trauma literature, the criteria adopted for evaluation of PTSD treatments, and, resultantly, the determination of treatment recommendations. Culture plays a ...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
There is a shortage of clinicians who have been trained in treating traumatized clients, despite the high prevalence of trauma exposure and its frequent link with psychopathology. To address this need, professional guidelines and resources have been developed, including a core set of trauma competencies that professionals must develop to provide trauma-informed services to clients and several treatment guidelines. We discuss The New Haven Competencies for Trauma Training and Practice, then review recently developed clinical and professional practice guidelines, with an emphasis on the American Psychological Association (AP...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
How early parent-child relationships affect adult romantic relationships. Our early experiences with those closest to us shape how we understand the nature of relationships. During these early years, we develop our attachment style. Attachment style influences who we fall in love with, how we behave in romantic relationships, and even how the relationship ends.  As we grow, the level of security that feel in our most important relationships, the tactics that we develop to get our needs met, and the coping strategies that we apply to manage our strongest feelings all strongly affect the attachment style that we develop...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Relationships Trauma abuse Attachment Dating Insecurity Intimacy Neglect PTSD Source Type: blogs
Patients who don't respond to psychotherapy or medication for PTSD may benefit from intermittent theta-burst stimulation, a'second-generation'modality of transcranial magnetic stimulation, new research says.Medscape Medical News
Source: Medscape Psychiatry Headlines - Category: Psychiatry Tags: Psychiatry News Source Type: news
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