Posttraumatic And Acute Stress Disorder / Edition 5

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Overview

Posttraumatic and Acute Stress Disorder, Fifth Edition is a concise, up-to-date presentation of the latest scientific information and clinical challenges regarding posttraumatic stress disorder (PTSD) as well as acute reactions to stressful events. Written for non-PTSD specialists including practitioners in general psychiatry, primary care practitioners and graduate students, Post Traumatic & Acute Stress Disorder, Fifth Edition explicitly addresses diagnostic, including differential diagnostic, and assessment issues. This newest edition now includes current examples of PTSD in military personnel deployed to Iraq and Afghanistan.

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Editorial Reviews

Doody's Review Service
Reviewer: Steven T. Herron, MD (University of Arizona Health Sciences Center)
Description: Brief in its presentation, this book tackles posttraumatic stress disorder (PTSD) and acute stress disorder (ASD), including their history, assessing and diagnosing the conditions, and psychotherapeutic and psychopharmacologic advances in their treatment.
Purpose: This is intended to provide an update of the most recent information on the etiology, diagnosis, evaluation, and treatment of patients for PTSD and ASD.
Audience: The author suggests that the audience for this book is mental health professionals, primary care physicians, and medical students, although it is likely other clinicians, such as social workers and psychiatric nurse practitioners, would benefit from it as well.
Features: With only six chapters and 100 pages (without the appendix, glossary, and references), this book is remarkably compact yet thorough. Each chapter concludes with a section of key concepts that summarizes the information, and numerous case examples give readers some context and help them appreciate the clinical variability in these diagnoses. Additionally, comments in the page margins highlight important data.
Assessment: It is hard to imagine how this author was able to condense such a large volume of data into a manageable book that readers can absorb in one sitting. Its primary strength lies in the case examples, as they provide a rich contrast from what can be, at times, dry material. I used it to help review these diagnoses after a local tragic event received international attention. Many who requested information about PTSD and ASD were referred to this book due to its concise, accurate, and thoughtful presentation. Stylistically, it leaves a bit to be desired, as it contains inconsistent fonts and other things that break up the flow of the hook, but these are minor problems when compared to the content.
From The Critics
Reviewer: Steven T. Herron, MD(University of Arizona Health Sciences Center)
Description: Brief in its presentation, this book tackles posttraumatic stress disorder (PTSD) and acute stress disorder (ASD), including their history, assessing and diagnosing the conditions, and psychotherapeutic and psychopharmacologic advances in their treatment.
Purpose: This is intended to provide an update of the most recent information on the etiology, diagnosis, evaluation, and treatment of patients for PTSD and ASD.
Audience: The author suggests that the audience for this book is mental health professionals, primary care physicians, and medical students, although it is likely other clinicians, such as social workers and psychiatric nurse practitioners, would benefit from it as well.
Features: With only six chapters and 100 pages (without the appendix, glossary, and references), this book is remarkably compact yet thorough. Each chapter concludes with a section of key concepts that summarizes the information, and numerous case examples give readers some context and help them appreciate the clinical variability in these diagnoses. Additionally, comments in the page margins highlight important data.
Assessment: It is hard to imagine how this author was able to condense such a large volume of data into a manageable book that readers can absorb in one sitting. Its primary strength lies in the case examples, as they provide a rich contrast from what can be, at times, dry material. I used it to help review these diagnoses after a local tragic event received international attention. Many who requested information about PTSD and ASD were referred to this book due to its concise, accurate, and thoughtful presentation. Stylistically, it leaves a bit to be desired, as it contains inconsistent fonts and other things that break up the flow of the hook, but these are minor problems when compared to the content.
From The Critics
Reviewer: Steven T. Herron, MD(University of Arizona Health Sciences Center)
Description: Brief in its presentation, this book tackles posttraumatic stress disorder (PTSD) and acute stress disorder (ASD), including their history, assessing and diagnosing the conditions, and psychotherapeutic and psychopharmacologic advances in their treatment.
Purpose: This is intended to provide an update of the most recent information on the etiology, diagnosis, evaluation, and treatment of patients for PTSD and ASD.
Audience: The author suggests that the audience for this book is mental health professionals, primary care physicians, and medical students, although it is likely other clinicians, such as social workers and psychiatric nurse practitioners, would benefit from it as well.
Features: With only six chapters and 100 pages (without the appendix, glossary, and references), this book is remarkably compact yet thorough. Each chapter concludes with a section of key concepts that summarizes the information, and numerous case examples give readers some context and help them appreciate the clinical variability in these diagnoses. Additionally, comments in the page margins highlight important data.
Assessment: It is hard to imagine how this author was able to condense such a large volume of data into a manageable book that readers can absorb in one sitting. Its primary strength lies in the case examples, as they provide a rich contrast from what can be, at times, dry material. I used it to help review these diagnoses after a local tragic event received international attention. Many who requested information about PTSD and ASD were referred to this book due to its concise, accurate, and thoughtful presentation. Stylistically, it leaves a bit to be desired, as it contains inconsistent fonts and other things that break up the flow of the hook, but these are minor problems when compared to the content.
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Product Details

  • ISBN-13: 9780763795689
  • Publisher: Jones & Bartlett Learning
  • Publication date: 12/6/2010
  • Edition description: 5
  • Edition number: 5
  • Pages: 138
  • Sales rank: 552,656
  • 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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