Cognitive processing therapy and group present centered therapy sessions occurred twice a week for six weeks (Resick et al. 2015). Therapist followed up with their patients approximately six months and one year following treatment. Results of the study indicate both methods of therapy are effective at reducing PTSD; however, group cognitive processing therapy yielded better results. Only during one point in the therapy did PTSD symptoms drastically increase for patients receiving group cognitive processing therapy, during the discussions about the specific event. Once this portion of the counseling completed, patients PTSD improved exponentially. Although this method of therapy yielded impressive results, it is not without limitations. One of the more prominent limitations of this method of therapy is that each counseling session is rigidly scheduled. Each session has a purpose, which builds to the completion of an overarching program. Therefore, missing one critical session could render the therapy ineffective. Another method of treatment utilized to address PTSD symptomology is cognitive behavioral conjoint therapy assessed in a study conducted by Macdonald, Pukay-Martin, Wagner, Fredman and Monson (2016). A critical aspect of this method of therapy is that it addresses the familial dysfunctions associated with the experimentation conducted by Tsai, Harpaz-Rotem, Pietrzak and Southwick (2012). Specifically, one of the main objectives of cognitive behavioral
Brian Albrecht, in his article "Families share the pain of veterans' PTSD" (2013), informs the reader of the effects of ptsd war veterans on their family, children and spouses that may cause higher levels in stress and anxiety. Brian supports his assertion by providing the reader with factual evidence of PTSD war veterans from credible resources, such as "This ‘secondary PTSD’ can include distress, depression and anxiety, said the Department of Veterans Affairs' National Center for PTSD" ( Albrecht). The purpose of this article is to inform the reader of the negative effects that ptsd war veterans may inflict in their family and children, in order to treat and prevent higher levels of stress and anxiety throughout the family. The authors creates
Spitalnick, Josh. Difede, JoAnn. Rizzo, Albert. O. Rothbaum, Barbara. “Emerging treatments for PTSD” Clinical Psychology Review, Volume 29, Issue 8, December 2009, Pages 715-726, ISSN 0272-7358, Web. 21 April 2016
The freedoms Americans enjoy come at a price; brave military men and women often foot the bill. Many men and women pay with their lives; others relive the sights, sounds, and terror of combat in the form of PTSD. Several causes and risk factors contribute to the development of PTSD. Combat-related PTSD appears slightly different than traditional PTSD. History tells of times when soldiers diagnosed with PTSD were viewed as “weak.” Resources have not always been available to struggling soldiers. The adverse symptoms of PTSD on soldiers and their families can be crippling.
Between February 2001 and April 2003, many were completed by approximately 9,282 Americans, 18 years of age or above, completed a survey that was conducted by The National Comorbidity Survey Replication (NCS-R). According to The National Comorbidity Survey Replication study, 5,692 Americans were diagnosed with PTSD. However, this research used the DSM-4 criteria. It was estimated that the lifetime prevalence was about 6.8% for Americans in young adulthood. This was a jump from the previous year at 3.5%. The lifetime prevalence for women was higher, at 9.7%, than it was for men at 3.6%. “Kessler, R.C., Berglund, P., Delmer, O., Jin, R., Merikangas, K.R., & Walters, E.E. (2005).”
Evidence points to CPT’s efficacy as a psychological treatment for PTSD and has demonstrated potential to decrease symptoms of depression and guilt. Although more research is needed to determine the effectiveness of CPT with various populations, both the Department of Defense and the Department of Veterans Affairs are recommending CPT as an evidence-based treatment for PTSD. A major benefit of CPT the gains are noticeable in a very short period. The rapid response to treatment is particularly important to military and active-duty populations for whom time may be limited (Keane TM, Marshall AD, Taft
This treatment approach is based on cognitive and learning theories, tackling-misleading beliefs related to the traumatic events of acknowledgments related to the abuse and provides a supportive environment of which individuals are encouraged to talk about their traumatic experience. A numerous amount of research has been carried out to investigate into how effective CBT really can be for PTSD. (Resick et al, 2002) carried out an investigation comparing CBT with strong cognitive restructuring focus and CBT with a strong exposure focus and to a waiting-list control of rape survivors. Prior to this experiment approximately 80% of patients who completed either form of CBT no longer met the criteria for PTSD. Once this investigation was complete a follow up treatment took place of which it was noted 2% of the waiting list group had lost the PTSD diagnoses. Only a year after this investigation Bryant, Moulds, Guthrie, Dang & Nixon, (2003) restructured the experiment comparing exposure alone, exposure plus cognitive restructuring, and supportive counselling in civilians with PTSD resulting from various traumatic events. At this particular follow up 65-80% of participants who either completed either form of CBT were now clear of PTSD diagnosis, compared to less than 40% of those who completed supportive counselling.
As the Vietnam War began preventative measures were being taken to decrease the psychological impact of war on soldiers. Unfortunately as the war ended soldiers were often met with hostile demonstrations by anti-war activists and society offered little acceptance of Vietnam veterans even years after the war. This is when early studies on PTSD and the effects on military families began being documented. Early research showed that PTSD can have devastating, far-reaching consequences on the patients functioning, relationships,
According to Gulliver and Steffen (2010) individuals involved in treatment for symptoms of PTSD are more likely to meet criteria for a SUD compared to the average person; the same goes for individuals seeking treatment for a SUD in relation to a potential PTSD diagnosis. It is important to address the needs of this population (co-occurring PTSD and SUD) and develop effect treatment methods because they often experience more severe symptoms, have lower functioning in daily activities of living, have poorer sense of wellbeing, poorer physical health, higher rates of chronic physical pain diagnoses, and worse treatment outcomes (Schafer & Najavits, 2007; Gulliver & Steffen, 2010). The development of successful and effective treatment for co-occurring PTSD and SUDs has the potential to significantly impact the public health system by reducing costs associated with untreated or misguided treatment of these two disorders (Gulliver & Steffen, 2010).
To effectively treat Post Traumatic Stress Disorder, PTSD in combat Veterans and service members, therapists use different techniques, which are preceded by addressing any underlying pain associated with the disorder. In their research, Chard et al. (2011) reported significant modifications to the CPT protocol for use with patients in a TBI-PTSD residential treatment facility, including increasing the number of sessions per week, combining group and individual therapy, and augmenting the treatment with cognitive rehabilitation. However, their research was marred with the use of few participants which provides doubts regarding the outcome of the proposed treatment procedures. Moreover, the researchers do not state with certainty as to the
Although American service members have felt the lasting effects of combat throughout the history of the nation, it was not until 1980 that Post-Traumatic Stress Disorder was formally added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Once referred to as “irritable heart” or “shell-shock,” PTSD made its way into the national spotlight in the years following the wars in both Iraq and Afghanistan due to U.S. military members having difficulty reintegrating into civilian life. High rates of suicide, depression, and elevated levels of violent crime within the veteran community made the need to find an effective treatment of this disorder a top priority for the Veterans Health Administration. While it is widely accepted by medical professionals that there is no single, definitive cure for PTSD, many different methods have been cultivated within the past 15 years that make coping with it an easier process; some to a greater extent than others. While medications, namely antidepressants and benzodiazepines, usually find themselves at the forefront of any discussion regarding mental debilitation, they are not a one-size-fits-all solution to the problems that combat veterans face. As this particular disorder is attached to a certain memory or traumatic occurrence, alternative methods of rehabilitation such as Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) have also shown promise in
In the United States (US) posttraumatic stress disorder (PTSD) affects 8 out of every 100 persons (United States Department of Veterans Affairs [USDVA], 2015). In which account for about 8 million people that include the military veterans (USDVA, 2015). About 10% of women and 4% of men will develop PTSD during some course of their lives (USDVA, 2015). Veterans are more susceptible to PTSD due to longer exposures to trauma, danger, or witness a violent life threaten incidence during their military service periods (USDVA, 2015). The development of PTSD becomes chronic after no longer seeing or under the “fight-or-flight“ experiences causing a psychological and/ or mental breakdown (National Institutes of Health [NIH], n.d). Such
The first method of treatment is trauma-focused cognitive-behavioural therapy. In this method, a patient is gradually but carefully exposed to feelings, thoughts, and situations that trigger memories of the trauma. By identifying the thoughts that make the patient remember the traumatic event, thoughts that had been irrational or distorted are replaced with a balanced picture. Another productive method is family therapy since the family of the patient is also affected by PTSD. Family therapy is aimed at helping those close to the patient understand what he/she is going through. This understanding will help in the establishment of appropriate communication and ways of curbing problems resulting from the symptoms (Smith & Segal, 2011).
“Psychology is the scientific study of behavior and mental processes,” (Feldman, 2009, p.5). There are many different views of psychological studies. However, they all share the basic foundation. They analyze memories, emotions, perceptions, thoughts, and reasoning processes, as well as the body’s functioning and what maintains these. In addition, each field of psychology strives to improve lives. Understanding behavior and mental processes aids in the diagnosis and treatment of mental illnesses (Feldman, 2009, p.5). There is a vast array of recognized mental illnesses. This paper will reflect on Posttraumatic Stress Disorder; the causes of it, the features and associated features, the major psychological perspectives on PTSD, the
Post-Traumatic Stress Disorder (PTSD) is becoming very common in today’s society and it’s something that many people will struggle with. PTSD is complicated by the fact that people with PTSD often may develop additional disorders such as depression, substance abuse, problems of memory and cognition, and other problems of physical and mental health. The most tenacious and difficult to treat forms of PTSD are sometimes those that have formed when a trauma victim was dissociative during his or her experience of the trauma. This effects lead to problems in families and make the whole ordeal worse, there is a great effect on families and this will be summarized in the following.
Approximately twenty-five to thirty percent of those who have experienced a traumatic event will proceed to develop post-traumatic stress disorder (Fry, 2016). Those who have experienced a traumatic event and developed PTSD continue reliving it to an extent in which it interferes with their lives. The symptoms of the disorder affect the person’s life by interfering with daily activities and personal relationships with friends and family. There is