Cognitive-Behavioral Therapies for Posttraumatic Stress Disorder Posttraumatic stress disorder (PTSD) is classified as an anxiety disorder that can develop after an individual has observed and/or experienced an extreme traumatic event that involved actual or threatened death or serious injury to one’s self or another (APA, 2000). An extreme traumatic event can include, but is not limited to, military combat, terrorist attacks, natural or manmade disasters, sexual assault, physical assault, robbery, and torture (APA, 2000). The type of traumatic event could influence the way in which medical and mental health care professionals assess, conceptualize, and subsequently treat the individuals with a PTSD diagnosis. For this reason, sexual assault, as the traumatic event that led to the development of a PTSD diagnosis, will be the focus of discussion. The current statistics on sexual assault exemplify the need to focus on this particular population. For example: every two minutes, someone in the United States is sexually assaulted, and each year there are about 213, 000 survivors of sexual assault (RAINN, 2009). The purpose of this paper, then, is to explore how cognitive-behavioral therapies assess, conceptualize, and treat clients with a sexual assault history and a PTSD diagnosis. Treatment Components of Cognitive-Behavioral Therapy The treatment components of cognitive-behavioral therapy (CBT) that are typically utilized in the treatment for PTSD include psychoeducation, prolonged exposure and/or in vivo exposure, cognitive restructuring, and anxiety management (Harvey, Bryant, & Tarrier, 2003). Psychoeducation Psychoeducation includes providing the client with information about the common symptomology that may be experien... ... middle of paper ... ... conceptualize, and treat clients with a sexual assault history and a PTSD diagnosis. The sexual traumatic event, experienced by the client, may elicit negative PTSD-related cognitions that are perpetuated by avoidant behavior. Prolonged exposure, in vivo exposure, and cognitive restructuring can challenge and correct such negative cognitions and avoidant behaviors. Psychoeducation can provide information, as well as a rationale about therapy, whereas anxiety management training can provide coping skills to engage in exposure and cognitive restructuring interventions. In general, cognitive-behavioral therapies can provide the means by which to assess, conceptualize, and treat clients, and has also shown to be efficacious (Dobson, 2010; Dobson & Dobson, 2009; Foa et al., 1999; Foa & Rauch, 2004; Harvey, Bryant, & Tarrier, 2003; McDonagh et al., 2005; Roman, 2010).
...ype of treatment available for post-traumatic stress disorder patients is psychotherapies. There are various types of psychotherapy that psychologist can use such as exposure therapy, psychoeducation or mindfulness training. In exposure therapy, the patient is recreating the traumatic event help get rid of the fear relating to the event. For example, James Francis Ryan could be put through a session where there was simulation of explosives going off or even airplane engine noises. Research by F.R. Schneier et al., 2012, found that antidepressant medication taken alongside exposure therapy was found to be more effective in treating the post-traumatic stress disorder (Sue, Sue, Sue, and Sue, 2014, p.127). Psychoeducation is also used with exposure therapy because it educates the patient with information about their disorder in order to understand it and cope with it.
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
In a study done by The Journal of Clinical Psychology, “the primary reason for not reporting seemed to combine a type of guilt with embarrassment.” With the help of utilizing support groups, clubs, and other programs among college campuses that are designed to make the victim’s experience a little easier, the victims may not feel as embarrassed to come out and may feel safer in their decision to move forward with their case. One of the most notable effects of rape is the psychological impact that it has on the victim immediately as well as long-term. Many victims feel depression, anxiety, and other sudden onset mental illnesses as a result of their attack and can last for years post-attack. The Journal of Interpersonal Violence reported that in their study of 95 victims over a 12 week long period, “by 3 months post-crime 47% still met the full criteria for Post Traumatic Stress Disorder.” This prolonged experience of emotional trauma can weaken the person’s overall mental wellbeing and cause the trauma to stick with them for the rest of their lives, especially if there are no support resources around them. As cited in the Journal of Clinical Psychology study previously, the number one reason for not reporting is the feeling of embarrassment which causes the victims to not talk about their experience and to shut out those around
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
Posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) are two stress disorders that occur after a traumatizing experience. PTSD is defined as a disorder that follows a distressing event outside the range of normal human experience and that is characterized by features such as intense fear, avoidance of stimuli associated with the event, and reliving the event. Acute stress disorder is defined as a disorder that is characterized by feelings of anxiety and helplessness and caused by a traumatic event. It also usually occurs within a month of the event and lasts from 2 days to 4 weeks. Dealing with experiences like the Oklahoma City bombing in 1995 and the World Trade Center and Pentagon attacks in 2001 were difficult for people and easily classified as traumatizing experiences. For times like these when a large number of people experience a traumatizing experience and will probably develop PTSD or ASD, there is no precedent for how to treat them. The only tool that can be used at these times is the Diagnostic and Statistical Manual (DSM), to classify the disorder. No real solution exists for a treatment process for an incident of this scale. The three journal articles I will be using show statistical data about how people dealt with these experiences and what percent of them developed PTSD or ASD. They also show how many people showed signs of these disorders but never contacted a professional to help treat it. Even as far away as Brussels, expatriates of the United States felt the effects of the attacks of September 11th.
Fairbank, John A.; Brown, Timothy A. “Current Behavioral Approaches to the Treatment of Posttraumatic Stress Disorder.” The Behavior Therapist 10.3 (1987): 57–64. Print.
Post-Traumatic Stress Disorder (PTSD), widely accepted as a major mental illness affecting 9-10% of the general population, is closely related to Dissociative Identity Disorder (MPD) and other Dissociative Disorders (DD). In fact, as many as 80-100% of people diagnosed with DID (MPD) also have a secondary diagnosis of PTSD. The personal and societal cost of trauma disorders [including DID (MPD), DD, and PTSD] is extremely high. For example, recent research suggests the risk of suicide attempts among people with trauma disorders may be even higher than among people who have major depression. In addition, there is evidence that people with trauma disorders have higher rates of alcoholism, chronic medical illnesses, and abusiveness in succeeding generations.
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Cognitive Behavioral therapy (CBT) is one of the various different types of evidence based practices used in therapies today. It is a blend of two therapies: cognitive therapy
Treatments for PTSD cannot erase your memory of those events,” (Tull) and, “That said, it is important to remember that symptoms of PTSD can come back again” (Tull). Even though it cannot be cured, it can be treated effectively with treatment. According to mayoclinc.org, “The primary treatment is psychotherapy, but often includes medication” (None). With the help of psychotherapy and medication, people who suffer from PTSD can begin to regain their life from anxiety and
Sexual assault is a traumatic event that can cause extreme psychological effects on the victim. These effects can be short-term, and they can manifest themselves into long-term effects, depending on the individual and how the sexual assault occurred. Victims of sexual assault can be either male or female, with both sexes having fairly similar psychological effects. In addition to these psychological effects, some individuals develop Rape Trauma Syndrome or Post Traumatic Stress Disorder, which can be more easily classified as short-term versus long-term responses. Every individual is different and may differ in their reactions to this event; there is no normal or common way to react (Kaminker, 1998, pg. 23).
Post-Traumatic Stress Disorder can turn into a very chronic condition that can immensely affect the daily life of an individual. As the name implies, there is a great amount of stress and fear related symptoms that follow a traumatic event. These events can range from something as extreme as being in combat or to something that can happen at any given moment, such as a car accident or assault. In general, we associate this disorder with veterans, as most develop signs of the disorder soon after coming back home, but in reality, PTSD can happen to anyone at any point in their lives. The fifth edition of the American Psychological Association’s Diagnostic and Statistical Manual of Mental Illnesses lists eight criteria that an individual must meet in order to receive proper diagnosis of the disorder. These criteria are dependent whether one is older or younger than six years old, but are both very similar. Specifically in children, there will be more observable behavior during play and demonstrate more attachment towards the parent or guardian, but otherwise, the symptoms are similar to adults. The first criterion states that the patient must have been involved in the traumatic event, whether they were directly involved, witnessed, or heard about the event that involved someone close to them. Vivid flashbacks and nightmares are also an indicator of the disorder. These are not just any flashbacks and nightmares; they relate to the event and cause a great amount of physiological arousal. When it comes to their sleeping habits, there are constant sleep disturbances that can prevent the individual to fall asleep. There must also be avoidance of anything that reminds the patient of the traumatizing event. The patient will do anythin...