Post Traumatic Stress Disorder : The Latest Assessment and Treatment Strategies

by Friedman, Matthew J.

• ISBN13: 9781887537148
• ISBN10: 1887537147
• Format: Paperback
• Copyright: 2000-05-01
• Publisher: Natl Book Network

Summary

Practitioner oriented with treatment descriptions and examples. Anecdotes, sidebars, definitions, references, and case studies throughout. Softcover. DNLM: Post-traumatic stress disorder.

Table of Contents

Overview of Post-Traumatic Stress Disorder (PTSD)	1	(6)
What is Trauma?	1	(2)
What are PTSD and ASD, and How are They Different?	3	(4)
How Common Is PTSD?	4	(1)
What is the Likelihood of Recovery?	4	(3)
Diagnosing and Assessing PTSD	7	(20)
What are Typical Characteristics of Those with PTSD?	7	(3)
Typical Characteristics of Those with PTSD	8	(2)
What Criteria Are Used to Diagnose PTSD?	10	(8)
The Traumatic Stress Criterion	10	(1)
The Exposure A1 Criterion	10	(2)
DSM-IV Diagnostic Criteria for PTSD	12	(1)
Traumatic Event -- Criterion A	13	(1)
Reexperciencing Symptoms -- Criterion B	14	(1)
Avoidant/Numbing Symptoms -- Criterion C	15	(1)
Hyperarousal Symptoms -- Criterion D	16	(1)
Similiarities and Differences Between PTSD & ASD	17	(1)
What Tools are Available for Clinical Assessment?	18	(4)
The Clinical Interview	19	(1)
General Considerations	19	(1)
Risk Factors	20	(1)
Self-report Instruments and Structured Interviews	20	(1)
Risk Factors for PTSD	21	(1)
Psychometric Instruments	22	(1)
What Differentiates PTSD from Other Disorders?	22	(5)
PTSD Assessment Scales	23	(1)
Comorbid Disorders	23	(2)
DSM-IV Disorders Frequently Comorbid with PTSD	25	(1)
Medical Disorders	25	(1)
Other ``Unofficial'' Post-Traumatic Syndromes	25	(2)
Psychological Treatments for PTSD	27	(38)
What are the Global Treatment Issues Related to PTSD?	27	(10)
Why is Help Sought Now?	28	(1)
Is Treating PTSD the First Order of Business?	29	(1)
Psychiatric Emergency	29	(1)
Alcohol or Drug Abuse/Dependence	29	(1)
Co-Existing Psychiatric Disorders	30	(1)
Situational Factors	30	(1)
What General Issues Must be Considered When Choosing a Specific Treatment Option?	31	(1)
Combined Treatment	32	(1)
Treatment of Comorbid Disorders	32	(1)
``Complex PTSD''	32	(1)
Cross-Cultural Considerations	33	(1)
Recovered Memories	33	(1)
What are the Major Personal Issues for Clinicians When Treating Someone with PTSD?	34	(1)
Therapeutic Neutrality vs. Advocacy	35	(1)
Vicarious Traumatization	35	(1)
Countertransference	36	(1)
Clinician Self-Care	36	(1)
What Psychological Treatments are Available for Adults with PTSD?	37	(24)
General Stages and Focus of Treatment	37	(1)
Establishing Trust and Safety	38	(1)
Trauma Focus vs. Supportive Therapy	38	(1)
Integration	39	(1)
Global Therapies	39	(1)
Psychological Debriefing	39	(3)
Psychoeducation	42	(1)
Peer Counseling	43	(1)
Individual Psychotherapies	44	(1)
Cognitive Behavioral Therapy (CBT)	44	(2)
Exposure Therapy	46	(1)
Cognitive Therapy	47	(1)
Cognitive Processing Therapy (CPT)	48	(1)
Biofeedback and Relaxation Training	49	(1)
Systematic Desensitization (SD)	49	(1)
Assertiveness Training	50	(1)
Stress Inoculation Training (SIT)	51	(2)
Psychodynamic Psychotherapy	53	(1)
Eye Movement Desensitization and Reprocessing (EMDR)	54	(2)
Marital/Family Therapies	56	(1)
Group Therapies	57	(1)
Psychodynamic Focus Group Therapy	58	(1)
Cognitive Behavioral Focus Group Therapy	58	(1)
Supportive Group Therapy	58	(1)
Social Rehabilitative Therapies	59	(2)
What Psychological Treatments are Available for Children and Adolescents with PTSD, and How Effective Are Those Treatments?	61	(4)
Cognitive Behavioral Therapy	61	(1)
Psychological Debriefing	62	(1)
Art and Play Therapy	62	(1)
Stress Inoculation Training (SIT)	62	(1)
Psychoeducational Approaches for Parents, Teachers and Children	63	(2)
Medical Treatments for PTSD	65	(14)
How Does the Human Stress Response Relate to PTSD?	65	(3)
Fight or Flight Reaction	66	(1)
The General Adaptation Syndrome	66	(1)
Human Stress Response	67	(1)
What Psychobiological Abnormalities Exist for Those With PTSD?	68	(3)
Alterations in Brain Structure	68	(1)
Adrenergic System	68	(1)
HPA System	69	(1)
Serotonergic System	69	(1)
Corticotropin Releasing Factor (CRF)	69	(1)
Neurotransmission	70	(1)
What Medical Treatments Are Used for PTSD?	71	(8)
Selective Serotonin Reuptake Inhibitors (SSRIs)	71	(1)
Evidence for Efficacy of Medications in the Treatment of PTSD	72	(2)
Other Serotonergic Antidepressants	74	(1)
Monoamine Oxidase Inhibitors (MAOIs)	74	(1)
Tricyclic Antidepressants (TCAs)	74	(1)
Anti-adrenergic Agents: Propranolol and Clonidine	75	(1)
Antianxiety Agents	76	(1)
Anticonvulsants	76	(1)
Antipsychotics	76	(1)
What is a Good Strategy for PTSD Pharmacotherapy?	77	(2)
Appendix A: PTSD Assessment Tools for Adults	79	(8)
Trauma Exposure Scales	79	(3)
General Traumatic Experiences	79	(1)
Specific Traumatic Experiences	80	(1)
Childhood Trauma	80	(1)
Domestic Violence	81	(1)
War-zone Trauma	82	(1)
Torture	82	(1)
Diagnostic Instruments	82	(2)
PTSD Symptom Severity Scales	84	(2)
Symptom Severity Scales for Acute Stress Disorder (ASD)	86	(1)
Appendix B: PTSD Assessment Tools for Children	87	(4)
Trauma Exposure Scales	87	(2)
Diagnostic Instruments	89	(1)
PTSD Symptom Severity Scales	89	(2)
Glossary	91	(4)
Bibliography	95	(10)
Index	105