Advances in PTSD Treatment Delivery : Review of Findings and Clinical Considerations for the Use of Telehealth Interventions for PTSD

Purpose of review

Effective treatments for posttraumatic stress disorder (PTSD) remain underutilized and individuals with PTSD often have difficulty accessing care. Telehealth, particularly clinical videoconferencing (CVT), can overcome barriers to treatment and increase access to care for individuals with PTSD. The purpose of this review is to summarize the literature on the delivery of PTSD treatments through office-based and home-based videoconferencing, and outline areas for future research.

Recent findings

Multi-Modal Virtual-Reality Based Treatment for Canadian Armed Forces Members with Combat- Related Posttraumatic Stress Disorder:A Computer- Assisted Rehabilitation Environment (CAREN) Waitlist Controlled Staggered Entry Study Protocol

Background: Military members (MMs), including Canadian Armed Forces (CAF) Service members (SMs), and Veterans are at elevated risk of experiencing occupational traumas which can cause operational stress injuries (OSIs) including post-traumatic stress disorder (PTSD), and moral injury (MI). Traditional evidence-based psychotherapeutic interventions can be effective in reducing symptoms of PTSD. Some MMs and Veterans, however, are less responsive to these treatments and considered to have Treatment-Resistant PTSD (TR-PTSD).

Experiences with medical cannabis in the treatment of veterans with PTSD : Results from a focus group discussion.

Posttraumatic stress disorder (PTSD) is an often chronic condition for which currently available medications have limited efficacy. Medical cannabis is increasingly used to treat patients with PTSD; however, evidence for the efficacy and safety of cannabinoids is scarce. To learn more about patients' opinions on and experiences with medical cannabis, we organized a focus group discussion among military veterans (N = 7) with chronic PTSD who were treated with medical cannabis.

Brief Eclectic Psychotherapy for PTSD

Brief eclectic psychotherapy for PTSD (BEPP) has been recognized as one evidence-based treatment for individuals with posttraumatic stress disorder (PTSD). Clinicians interested in reducing symptoms and helping patients understand their traumatic experiences often resonate with BEPP as a treatment option. BEPP is a 16-session, manualized treatment specially designed for the treatment of posttraumatic stress disorder. When first developed, BEPP was used and evaluated for treating police officers with PTSD in the Netherlands.

The effects of PTSD treatment during pregnancy : systematic review and case study

Background: PTSD in pregnant women is associated with adverse outcomes for mothers and their children. It is unknown whether pregnant women with PTSD, or symptoms of PTSD, can receive targeted treatment that is safe and effective.

Objective: The purpose of the present paper was to assess the effectiveness and safety of treatment for (symptoms of) PTSD in pregnant women.

Contextualising therapeutic care for child survivors of sexual violence in situations of war : a reflection on theory, context and practice

In this article, the author sought to raise awareness of and discuss ways to effectively address contextual challenges faced by mental health workers who provide therapeutic services to child rape survivors in war-affected regions, in general, and in the cultural context of the eastern region of the Democratic Republic of Congo, in particular, where rape is considered a sexual taboo, causing or amplifying attachment issues for survivors. A qualitative analysis of current literature review and therapeutic practice has been conducted in this article.

Randomised controlled trial of multi-modular motion-assisted memory desensitisation and reconsolidation (3MDR) for male military veterans with treatment-resistant post-traumatic stress disorder

Objective
To explore the potential efficacy of multi-modular motion-assisted memory desensitisation and reprocessing (3MDR) in British military veterans with treatment-resistant, service-related PTSD.
 

Methods
Exploratory single-blind, randomised, parallel arm, cross-over controlled trial with nested process evaluation to assess fidelity, adherence and factors that influence outcome.
 

The feasibility of prolonged exposure therapy for PTSD in low- and middle-income countries : a review

There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD.

Do caregivers’ perspectives matter? Working alliances and treatment outcomes in traumafocused cognitive behavioural therapy with children and adolescents

Background: Caregivers play a key role in the success of trauma-focused cognitive behavioural therapy (TF-CBT). Yet, the effect of their alliance on treatment outcomes besides the
other parties in treatment has hardly been studied.
Objective: This study examined the working alliance (WA) of therapists, patients and caregivers in TF-CBT and its contribution on treatment outcome over time.

Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder : meta-analysis

Background: any patients with post-traumatic stress disorder (PTSD) experience dissociative symptoms. The question of whether these dissociative symptoms negatively influence the effectiveness of psychotherapy for PTSD is unresolved.

Aims: To determine the influence of dissociative symptoms on psychotherapy outcome in PTSD.

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