Posttraumatic And Acute Stress Disorder / Edition 5

Posttraumatic And Acute Stress Disorder / Edition 5

1.0 1
by Matthew J. Friedman

binding type PBSee more details below


binding type PB

Product Details

Jones & Bartlett Learning
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Product dimensions:
6.80(w) x 9.90(h) x 0.40(d)

Table of Contents

Chapter 1 Overview of Posttraumatic Stress Disorder (PTSD)

What Is Trauma? 2

What Is the History and Prevalence of PTSD? 3

Historical Overview 4

Prevalence 4

Can PTSD Be Prevented? 5

How Severe and Chronic Is PTSD? 6

Chapter 2 Recognizing, Diagnosing, and Assessing PTSD

What Are the Main Characteristics of PTSD? 9

Reexperiencing Symptoms 9

Avoidance/Numbing Symptoms 10

Hyperarousal Symptoms 11

What Are the DSM-IV-TR Diagnostic Criteria for PTSD? 11

The Traumatic Stress Criterion 13

Multiple Traumas 14

How Should Clinicians Approach Initial Patient Interviews? 14

What Tools Are Available for Diagnosing PTSD? 18

Using Structured Interviews and Questionnaires 18

How Do You Differentiate PTSD from Comorbid and Other Disorders? 20

Traumatic Brain Injury 21

Other Posttraumatic Problems 22

Chapter 3 Global Treatment Issues for PTSD

What Are the Timing and Priority Issues Related to Treatment? 25

Timing Issues for Seeking Treatment 25

Priority Issues for Treatment 27

What General Considerations Exist for Choosing a Specific Treatment Option? 27

What PTSD Treatment-Focus Issues Exist? 28

Trauma Focus 28

Trauma Focus vs. Supportive Therapy 28

Combined Treatment 29

Treatment of Comorbid Disorders 30

Environmental Conditions 31

"Complex PTSD" 32

Cross-Cultural Considerations 33

Recovered Memories 34

What Are the Major Personal Issues for Clinicians Treating Those with PTSD? 35

Therapeutic Neutrality vs. Advocacy 35

Vicarious Traumatization 36

Countertransference 36

Clinician Self-Care 37

Chapter 4 Psychological Treatments for PTSD

What Specific Psychosocial Treatments Are Available for Adults with PTSD? 39

Psychoeducation 39

Individual Psychotherapies 43

Group Therapies 54

What Psychosocial Treatments Are Available for Children and Adolescents with PTSD? 58

CBT for Children and Adolescents 59

School-Based Treatments for Children and Adolescents 59

Psychodynamic Therapy for Child Trauma 60

Creative Arts Therapies for Children and Adults 61

Combined Treatments 61

Chapter 5 Pharmacological Treatments for PTSD

How Does the Human Stress Response Occur? 65

Fight, Flight, or Freeze Reaction 66

The General Adaptation Syndrome 66

What Psychobiological Abnormalities Occur in Those with PTSD? 67

Adrenergic System 70

HPA System 71

Serotonergic System 71

Neurotransmission 71

How Can Medications Best Be Used to Treat PTSD? 72

Selective Serotonin Reuptake Inhibitors (SSRIs) 76

Other Second-Generation Antidepressants 77

Monoamine Oxidase Inhibitors (MAOIs) 77

Tricyclic Antidepressants (TCAs) 78

Antiadrenergic Agents 78

Anticonvulsants 79

Benzodiazepines 79

Antipsychotic Agents 80

Chapter 6 Strategies for Acute Stress Reactions and Acute Stress Disorder (ASD)

Military Considerations 85

What Are Normal Acute, Posttraumatic Distress Reactions? 87

Counseling the Patient with an Acute Stress Reaction 87

What Treatment Approaches Are Used for Traumatic Event Survivors? 88

Forward Psychiatry for Combat Operational Stress Reaction (COSR) 89

What Is Acute Stress Disorder (ASD)? 93

What Challenges Exist for Diagnosing ASD? 94

Risk Factors for ASD 94

Distinguishing ASD from PTSD 94

Understanding DSM-IV Diagnostic Criteria 96

Conducting a Clinical Interview for ASD 96

ASD Assessment and Diagnostic Tools 96

Is There a Treatment for ASD? 98

Cognitive-Behavioral Therapy 98

Pharmacological Treatments and Acute Distress 98

Treating Acutely Traumatized Children 99

Appendix 101

Table 1 Screening Instruments 101

Table 2 Trauma Exposure Scales for Adults 102

Table 3 PTSD Diagnostic Instruments for Adults 103

Table 4 PTSD Self-Report Instruments for Adults 104

Table 5 Trauma Exposure Scales for Children and Adolescents 105

Table 6 PTSD Diagnostic Instruments for Children and Adolescents 106

Table 7 PTSD Self-Report Instruments for Children and Adolescents 107

Glossary 109

References 113

Index 135

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