Drawing on extensive research and clinical experience, leading authority Richard A. Bryant explores what works--and what doesn't work--in managing acute traumatic stress. He reviews the current state of the science on acute stress disorder (ASD) and presents diagnostic guidelines based on DSM-5. In a straightforward, highly readable style, Bryant shares rich insights into how to provide effective, compassionate care to specific populations, including those with mild traumatic brain injury, military personnel and first responders, and children. Evidence-based intervention procedures are described. Reproducible assessment tools and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
A handy, easy-to-read reference for the diagnosis and treatment of posttraumatic and acute stress disorders, this important 6th edition has been revised and updated extensively, offering a wealth of new information in a concise format of 6 sections. The new DSM-5 diagnostic criteria for PTSD and Acute Stress Disorder (ASD) are discussed, in depth, in Chapters 2 and 6, respectively. In addition, updated tables listing instruments for assessing diagnosis and symptom severity are cited and annotated in seven appendices, as in previous editions. Chapters 3-5 have been revised to keep pace with the ever-expanding literature on treatment of PTSD. This is especially true in Chapter 4 where, in addition to a focus on evidence-based cognitive-behavioral therapy, CBT and other individual psychosocial treatments (e.g. eye movement desensitization and reprocessing, EMDR), the growing literature is presented on couples, family, group and school-based treatments for adults, children and adolescents. Chapter 5 reviews the pathophysiology of PTSD and evidence-based pharmacotherapy for the disorder. Chapter 6 addresses both normal acute stress reactions and clinically significant ASD, as well as effective interventions for each. A comprehensive, sophisticated, practical reference for all clinicians, Posttraumatic and Acute Stress Disorders, 6th Edition is an invaluable resource designed to guide the best clinical attention for individuals suffering from posttraumatic an d acute stress disorders.
Trauma, stress, and disasters are impacting our world. The scientific advances presented address the burden of disease of trauma- and stressor-related disorders. This book is about their genetic, neurochemical, developmental, and psychological foundations, epidemiology, and prevention, screening, diagnosis, and treatment. It presents evidence-based psychotherapeutic, psychopharmacological, public health, and policy interventions.
Post-traumatic stress disorder is a psychiatric illness that can occur in anyone who has experienced a life-threatening or violent event. The trauma can be due to war, terrorism, torture, natural disasters, violence, or rape. In PTSD the brain areas that are likely to be affected are the hippocampus (memory), amygdala (fear association), the prefrontal cortex (cognitive processing), and the ascending reticular activating system (arousal). The chemical of interest is norepinephrine, which is released during a stressful event and is part of the fight-or-flight response meant to mobilize the body to action.The objective of this title is to outline the neurobiology of post-traumatic stress disorder and provide treatment strategies for clinicians. The chapter material from this book has evolved from a seminar on PTSD held recently under the auspices of the VA Boston Healthcare System, Boston University Medical Center and Harvard Medical School. We propose a book that will focus on the epidemiology, neurobiology, MRI studies, animal models, arousal and sleep issues, clinical trials, and treatment strategies for clinicians. Treatment will cover such topics as guidelines for treating posttraumatic stress disorder, PTSD and the use of mental health services, cognitive intervention therapy, and large scale clinical trials in PTSD. This collection will be a vital source of information to clinicians and neuroscientists.
PTSD is in no way an easy diagnosis for the patient, the provider, or the therapist. It is a diagnosis developed at the border of our capacity to handle extreme stress, a marker diagnosis denoting the limits of our capacity for functioning in the stress of this modern world. For both individuals and society, PTSD marks the limits of our available compassion and our capacity to protect ourselves from the dangers of the environment and other humans. PTSD is often a chronic disease, forming at a place where mind sometimes no longer equals the brain, a point at which individual patient requirements often trump theory and belief. There are treatments for PTSD that work, and many that do not. This book presents evidence, rather than theory, anecdote, or case report. Psychological approaches including prolonged exposure, imagery rehearsal therapy and EMDR have a greater than 75% positive short-term response when used to treat PTSD. Yet these treatments vary markedly and have different, even contradictory underlying theory and objectives for treatment. Medications, rarely indicated as primary therapy, can be used to treat symptoms and address comorbid PTSD diagnoses. Treatment of sleep apnea in the PTSD population produces a positive effect on symptoms and a reduction in morbidity and mortality across the span of life. Complementary treatments offer the many individuals chronically affected by PTSD assistance in coping with symptoms and opportunities to attempt to functionally integrate their experience of trauma.
More than 13 million Americans experience Post Traumatic Stress Disorder, and one out of 13 adults will develop it in their lifetime. Recent worldwide crises and events including the Iraq war; the September 11th attacks; numerous Columbine-like events; the Catholic Church child molestation scandal; and the Katrina tragedy in New Orleans, continue to present thousands more PTSD cases each year in all age groups. This book helps victims make sense of the events that led to their illness and teaches them how to create a new reality with specific advice and action plans that put them on the road to recovery and long-term healing.
Trauma and disaster throw lives into chaos and fill people with the fear of loss, injury, and death. Although most individuals experience only transitory posttraumatic symptoms, others experience the effects of the disaster long after the traumatic event when new experiences remind them of the past. Posttraumatic Stress Disorder: Acute and Long-Term Responses to Trauma and Disaster provides clinicians, researchers, and policy makers with an examination of current advances in research and treatment by recognized experts at the cutting edge of innovation. This timely book incorporates DSM-IV criteria and the new diagnostic category acute stress disorder, which emphasizes the breadth of posttraumatic stress symptoms and disorders and the importance of distinguishing between acute and long-term responses to traumatic events. Individual chapters go beyond PTSD to examine other posttraumatic disorders and responses, the mechanisms of transmission of posttraumatic stress, and its effects on behavior and health in natural and societal disasters and traumas, including war. This volume pays particular attention to the array of psychiatric responses to trauma, including PTSD and the unfolding of illness and recovery over time. Posttraumatic responses are considered across individual, group, family, and community perspectives and from the vantage point of developmental systems from childhood to older adult life.
This volume assists practicing mental health professionals in expanding their knowledge about nutritional and herbal interventions that can be attempted as alternatives to prescription medications. Designed to provide guidance for non-medical caregivers treating children and adolescents who present with emotional and/or behavioral difficulties such as such as depression, anxiety, ADHD, sleep difficulties, impulsivity, distractibility, and other psychological and psychiatric disorders, the volume provides a comprehensive discussion of naturopathic solutions based on existing research. In areas where research is not extensive, conclusions are provided about potentially beneficial effects based on the specific pharmacologic action of the compounds. Dosage for specific age groups, schedules of administration, dietary considerations (i.e., whether or not to take the supplement with food), monitoring for response and adverse effects, signs of dangerous reactions, and the need to control interactions with other compounds (i.e., prescription medications) are thoroughly reviewed with regard to each supplement discussed in the book. - Reviews specific psychological disorders (i.e. ADHD, depression, mania, anxiety, sleep difficulties, tic behaviors and autism) and the available data about their treatment with the use of nutritional and herbal supplements - Provides rationale for the use of every specific compound with detailed recommendations tailored for each age group with regard to the dosage, frequency of administration, possible dangers and monitoring for side effects - Discusses claims of efficacy used to market various products and ground those claims within fully vetted scientific research - Discusses neurobiology, pharmacodynamics and pharmokinetics in detailed but accessible language *Non-medical clinicians with limited knowledge of medicine and pharmacology come away with understanding of key issues involved in - Fully covers assessment, diagnosis & treatment of children and adolescents, focusing on evidence-based practices *Consolidates broadly distributed literature into single source and specifically relates evidence-based tools to practical treatment, saving clinicians time in obtaining and translating information and improving the level of care they can provide - Detailed how-to explanation of practical evidence-based treatment techniques *Gives reader firm grasp of how to more effectively treat patients - Material related to diversity (including race, ethnicity, gender and social class) integrated into each chapter *Prepares readers for treating the wide range of youth they will encounter in practice
This Handbook surveys existing descriptive and experimental approaches to the study of anxiety and related disorders, emphasizing the provision of empirically-guided suggestions for treatment. Based upon the findings from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the chapters collected here highlight contemporary approaches to the classification, presentation, etiology, assessment, and treatment of anxiety and related disorders. The collection also considers a biologically-informed framework for the understanding of mental disorders proposed by the National Institute of Mental Health's Research Domain Criteria (RDoC). The RDoC has begun to create a new kind of taxonomy for mental disorders by bringing the power of modern research approaches in genetics, neuroscience, and behavioral science to the problem of mental illness. The framework is a key focus for this book as an authoritative reference for researchers and clinicians.
