There are no data to guide whether medication or non-trauma-focused psychotherapy is more effective in cases where trauma-focused psychotherapy is unavailable or not desired. In such cases, the CPG recommends treatment using medication (specifically, sertraline, paroxetine, fluoxetine, or venlafaxine see Clinician's Guide to Medications for PTSD) or certain individual, manualized psychotherapies that are not trauma-focused (specifically, Stress Inoculation Training, present centered therapy, and Interpersonal Psychotherapy see below). Individual trauma-focused psychotherapies may not be available in all settings and not all patients choose to engage in these treatments. In addition, the risks for negative side effects or negative reactions are generally greater with medication than with psychotherapy. (2,3) The results showed that trauma-focused psychotherapies lead to greater improvement in PTSD symptoms than medications, and that these improvements last longer. (1) Although there have been few direct head-to-head comparisons of trauma-focused psychotherapy and a first-line medication for treating PTSD, two recent meta-analyses compared the treatment effects of psychotherapies and pharmacotherapies. The CPG (2017) recommends treating PTSD using individual trauma-focused psychotherapy (e.g., PE, CPT, EMDR) over medications based on the current state of the PTSD treatment research. Individual Trauma-Focused Psychotherapy Recommended Over Other Treatments for PTSD VA Software Documentation Library (VDL).Clinical Trainees (Academic Affiliations).War Related Illness & Injury Study Center.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |