Post-Traumatic Stress Disorder: A Guide for Primary Care Clinicians and Therapists

ISBN-13: 9783030559083 / Angielski / Miękka / 2020 / 165 str.

James F. Pagel

Recenzje

“This is an exceedingly important read for primary care clinicians of all disciplines and therapists. … This is an easy-to-read, comprehensive, well-referenced text that outlines the past and current thinking concerning PTSD. It incorporates newer thoughts of present-day trauma not previously associated with PTSD and highly objective considerations to the various treatment modalities proposed over time, including self-treatments with alcohol, cannabinoids, and psychedelics. This is a very helpful contribution to the current thinking and state-of-the-art concerning PTSD.” (Vincent F Carr, Doody's Book Reviews, February 26, 2021)

Spis treści

Shell shock and society

Unzipping ptsd - criteria and screeners

Disasters and societal trauma - complex and societal ptsd

The origins of ptsd - psychodynamic trauma and the human stress response

Nightmare science

Chronic ptsd

Treating the emergency - acute trauma

Classic psychotherapy for ptsd

Group therapy for ptsd

Classic cognitive behavioral therapy

Prolonged exposure therapy

Eye movement desensitization and processing (emdr)

Imagery rehearsal therapy

Ptsd – the medications

Sleep apnea and ptsd

Complementary approaches to healing ptsd - art, body, and mind awareness

When treatment doesn't work

An evidence-based approach to ptsd therapy

O autorze

James F. Pagel MS, MD

Associate Clinical Professor

University of Colorado

School of Medicine

Director Rocky Mt. Sleep

Pueblo, CO 

Blurb

PTSD is in no way an easy diagnosis for the patient, the provider, or the therapist. It is a diagnosis developed at the border of our capacity to handle extreme stress, a marker diagnosis denoting the limits of our capacity for functioning in the stress of this modern world. For both individuals and society, PTSD marks the limits of our available compassion and our capacity to protect ourselves from the dangers of the environment and other humans. PTSD is often a chronic disease, forming at a place where mind sometimes no longer equals the brain, a point at which individual patient requirements often trump theory and belief.

There are treatments for PTSD that work, and many that do not. This book presents evidence, rather than theory, anecdote, or case report.  Psychological approaches including prolonged exposure, imagery rehearsal therapy and EMDR have a greater than 75% positive short-term response when used to treat PTSD. Yet these treatments vary markedly and have different, even contradictory underlying theory and objectives for treatment. Medications, rarely indicated as primary therapy, can be used to treat symptoms and address comorbid PTSD diagnoses. Treatment of sleep apnea in the PTSD population produces a positive effect on symptoms and a reduction in morbidity and mortality across the span of life. Complementary treatments offer the many individuals chronically affected by PTSD assistance in coping with symptoms and opportunities to attempt to functionally integrate their experience of trauma.