Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Psychiatry


Answer 3
  1. Cognitive behavioral therapy. Of the potential answers, cognitive behavioral therapy has been studied to the greatest extent and has proven efficacy in treating PTSD and acute stress disorder.8 It ideally should be initiated within a month after a traumatic event.8 Although the case patient has had symptoms for a year, cognitive behavioral therapy would still be effective, but earlier treatment is better. Trauma-focused psychodynamic therapy would also help this patient but is less effective for reducing PTSD symptoms as compared with cognitive behavioral therapy.9,10 Although brief counseling may be helpful, more intense counseling services are generally needed in patients with PTSD.9,10 Psychological debriefing may augment symptoms and is ineffective in preventing PTSD and in improving social functioning.9,10

    REFERENCES
    8.
     van Emmerik AA, Kamphuis JH, Emmelkamp PM. Treating acute stress disorder and posttraumatic stress disorder with cognitive behavioral therapy or structured writing therapy: a randomized controlled trial. Psychother Psychosom 2008;77:93–100.

    9. Bisson J, Andrew M. Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database Syst Rev 2007;(3):CD003388.

    10. Sherman JJ. Effects of psychotherapeutic treatments for PTSD: a meta-analysis of controlled clinical trials. J Trauma Stress 1998;11:413–35.

Click here to return to the questions
 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 12/18/08 • nvf