Psychiatry Fast Five Quiz: What Do You Know About Post-traumatic Stress Disorder?

Stephen Soreff, MD

Disclosures

January 30, 2017

A meta-analysis showed that EMDR and trauma-focused CBT should be first-line nonpharmacologic approaches in PTSD. Some studies have found EMDR to be more time-efficient. EMDR involves psychotherapy that combines various therapeutic approaches with eye movements (or other types of rhythmic stimulation) to stimulate the brain's information-processing mechanisms. During EMDR, the clinician has the patient perform a series of lateral eye movements while reviewing the traumatic events.

Studies have shown that short-term CBT can be effective. Even a single CBT for sleep abnormalities can significantly improve daytime PTSD symptoms. Self-managed CBT administered through the Internet can be useful as well. In a study of military veterans with PTSD, self-managed, Internet-based CBT led to a greater reduction in PTSD symptoms than did Internet-based supportive counseling.

When PTSD is assessed and treated quickly after the traumatic event—even before a diagnosis is made—many of the complications and disabilities associated with prolonged PTSD can be prevented, making a strong argument for swift intervention after the traumatic event. Alcohol and substance abuse problems, if present, should be the initial focus of treatment.

To learn more about the nonpharmacologic treatment of PTSD, read here.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....