Practical Parameters in the Use of Flooding for Treating Chronic PTSD

Foy, David W.; Kagan, Bruce L.; McDermott, Charles; Leskin, Gregory A.; Sipprelle, R. Carl; Paz, George G.

doi:10.1002/(sici)1099-0879(199609)3:3<169::aid-cpp99>3.0.co;2-u

Cited by 35 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Psychodynamic treatment also explicitly addresses in the evaluation phase that there be evidence of pretrauma functioning, including the capacity for basic trust, ability to cope with emotional states, and capacity for psychological thinking before treatment can proceed. Foy et al (1996) and Litz, Blake, Gerardi, and Keane (1990) have written about considerations for client features for the use of cognitivebehavioral approaches involving intensive and prolonged imaginal exposure. The TFGT described in this issue by Foy et al was developed in part due to the difficulty that many combat veterans with PTSD have in tolerating prolonged intensive exposure in individual therapy.…”

Section: Symptoms Associated Features and Comorbid Disordersmentioning

confidence: 99%

Understanding and treating PTSD: Introduction

Shea

Zlotnick

2002

J Clin Psychol

View full text Add to dashboard Cite

Although trauma and its consequences are not new, the understanding of the mental, emotional, and physical symptoms that often follow traumatic events as a distinct disorder is relatively recent. The addition of posttraumatic stress disorder (PTSD) to the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1980 had a large impact on theory, research, and treatment of the psychological consequences of trauma. Much of the early research focused on identification and assessment of symptomatic reactions to trauma and attempts to identify risk factors for the development of PTSD. Research on treatment of PTSD has emerged more recently and is still in the relatively early stages.Since the last edition of In Session on PTSD in 1997, there have been multiple advances in the treatment of PTSD. Most notable is research that has examined the efficacy of combined psychotherapy approaches in the treatment of PTSD and research that has compared the effectiveness of different treatments. Another area of growth has been the use of pharmacotherapy in the treatment of PTSD, especially the use of sertraline as an effective and well-tolerated treatment for PTSD. In the last few years, there also has been an increased interest among clinicians and researchers in eye-movement desensitization and reprocessing (EMDR) for patients with PTSD. The clinical significance of PTSD is reflected in the recent publications of experts' consensus statements on PTSD (e.g., Ballenger et al., 2000) and on practice guidelines for the treatment of PTSD (e.g., Foa, Keane, & Friedman, 2000). In the wake of the terrorist attacks on September 11, the effects of trauma have been featured prominently in the media and professional journals, and-hopefully-there will be a heightened importance of appropriate mental health care for trauma survivors.The purpose of this issue of In Session is to describe the theory and practice of the psychosocial approaches at the forefront in PTSD treatment, with plentiful case illustrations. The issue begins with an overview of clinically relevant research findings provided in the excellent article by Schnurr, Friedman, and Bernardy. With its summary of findings on the prevalence and course of PTSD, their article provides a context for understanding the importance of developing effective treatments. The discussion of the comorbidity associated with PTSD highlights one of the many complex issues in treatment in this area: PTSD symptoms rarely are found alone. More commonly, the diagnosis is associated with one or several comorbid disorders or associated features, complicating treatment decisions. Their summary of some of the exciting research advances in information processing and psychobiology illustrates the broadening of our knowledge of the mechanisms that may underlie the development and maintenance of PTSD symptoms, knowledge likely to be critical to future advances in prevention and treatment. The section on assessment provides a useful overview of relevant considerations for the practicing clinician, includ...

show abstract

Section: Symptoms Associated Features and Comorbid Disordersmentioning

confidence: 99%

Understanding and treating PTSD: Introduction

Shea

Zlotnick

2002

J Clin Psychol

View full text Add to dashboard Cite

show abstract

“…For instance, cognitive behavioral and exposure therapies constitute major advances in the treatment of PTSD, but there is a shortage of providers trained to deliver evidence-based PTSD treatments (Frueh et al 2006). Additional barriers include the following: practitioner concerns about iatrogenic effects of PTSD treatments (Becker et al 2004); patient resistance to cognitive behavioral therapies (Foy et al 1996;Zayfert and DeViva 2004); decreased treatment seeking due to stigma of PTSD (Hoge et al 2004); and treatment refusal among veterans with PTSD due to negative perceptions about service accessibility, delivery, and efficacy (Desai et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Brief Mindfulness Program for Veterans in Primary Care with Posttraumatic Stress Disorder

et al. 2014

View full text Add to dashboard Cite

Mindfulness-based stress reduction programs have improved psychological health for clinical populations including veterans with posttraumatic stress disorder (PTSD). Veterans with PTSD who seek services in Department of Veterans Affairs primary care are especially in need of brief treatments that can alleviate PTSD symptoms. A clinical demonstration project was carried out to assess the feasibility and acceptability of a brief mindfulness program consisting of four weekly 1.5-h class sessions. Veterans enrolled in primary care with diagnostic or subthreshold PTSD were recruited. The brief mindfulness intervention was feasible to deliver, and veterans were generally satisfied with the program. Despite good retention once a class session was attended, a large number of veterans provided a variety of reasons for not attending the program at all. Veteran feedback that can be addressed to improve the brief mindfulness program is discussed, including enhancing initial attendance.

show abstract

“…Although some of the obstacles to implementing exposure have been discussed in the literature (Foy et al, 1996;Jaycox & Foa, 1996;Pitman et al, 1991), data regarding which obstacles most concern clinicians are lacking.…”

mentioning

confidence: 99%

A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD

Becker

Zayfert²,

Anderson

2004

Behaviour Research and Therapy

666

564

View full text Add to dashboard Cite

Although research supports the efficacy of exposure therapy for PTSD, some evidence suggests that exposure is under-utilized in general clinical practice. The purpose of this study was to assess licensed psychologists' use of imaginal exposure for PTSD and to investigate perceived barriers to its implementation. A total of 852 psychologists from 3 states were randomly selected and surveyed. An additional 50 members of a trauma special interest group of a national behavior therapy organization were also surveyed. The main survey results indicate that a large majority of licensed doctoral level psychologists do not report use of exposure therapy to treat patients with PTSD. Although approximately half of the main study sample reported that they were at least somewhat familiar with exposure for PTSD, only a small minority used it to treat PTSD in their clinical practice. Even among psychologists with strong interest and training in behavioral treatment for PTSD, exposure therapy is not completely accepted or widely used.Clinicians also appear to perceive a significant number of barriers to implementing exposure.

show abstract

Practical Parameters in the Use of Flooding for Treating Chronic PTSD

Cited by 35 publications

References 0 publications

Understanding and treating PTSD: Introduction

Understanding and treating PTSD: Introduction

Feasibility and Acceptability of a Brief Mindfulness Program for Veterans in Primary Care with Posttraumatic Stress Disorder

A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD

Contact Info

Product

Resources

About