The so-called gold standard trauma therapies were established on the basis of randomized controlled trials, with EMDR, and other cognitive-behavioral therapy variants such as cognitive processing therapy (CPT) leading the pack.
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How effective is prolonged exposure for PTSD?
Prolonged exposure (PE) is an effective first-line treatment for posttraumatic stress disorder (PTSD), regardless of the type of trauma, for Veterans and military personnel. Extensive research and clinical practice guidelines from various organizations support this conclusion.
What is the best treatment for posttraumatic stress disorder (PTSD)?
The two PTSD therapies most studied in relation to retention and dropout are Prolonged Exposure and Cognitive Processing Therapy, which have been the subject of massive, formal, multi-year dissemination roll-outs.
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What is the gold standard for trauma treatment?
Trauma-focused cognitive behavior therapy behavior therapy, or TF-CBT, is considered the gold standard treatment for children and adolescents with PTSD.
What is the best treatment for trauma?
The gold standard for treating PTSD symptoms is psychotherapy, particularly cognitive behavioral therapy, cognitive processing therapy, and prolonged exposure therapy. EMDR and EFT have also shown promise in helping people recover from PTSD.
What style therapy is best for trauma processing?
What is the 'best' therapy for trauma?Cognitive behavioral therapy (CBT) CBT is often considered the first line of defense against trauma. ... Prolonged exposure (PE) therapy. ... Eye movement desensitization and reprocessing (EMDR)
Is EMDR the gold standard of treatment for PTSD?
EMDR therapy is an effective treatment option for people suffering from anxiety, panic, PTSD, or trauma. It's a way to get past your past. According to the EMDR Research Foundation, EMDR has been clinically validated by more than 30 randomized, controlled studies (the gold standard for clinical studies).
What is EMDR for trauma?
Eye movement desensitization and reprocessing (EMDR) refers to an interactive psychotherapy technique used to relieve psychological stress. According to the theory behind the approach, traumatic and painful memories can cause post-traumatic stress when you don't process them completely.
How is EMDR therapy done?
At first glance, EMDR appears to approach psychological issues in an unusual way. It does not rely on talk therapy or medications. Instead, EMDR uses a patient's own rapid, rhythmic eye movements. These eye movements dampen the power of emotionally charged memories of past traumatic events.
What is trauma therapy model?
Trauma Model Therapy is a structured therapy that involves a blend of cognitive-behavioral, systems, psychodynamic and experiential principles. The program can be delivered in individual or group therapy in an in-patient or out-patient setting.
How does CBT work for trauma?
CBT helps those with PTSD by challenging the unhealthy thought processes and emotions connected to someone's trauma. Challenging these thought processes allows the patient to acknowledge the reality of the trauma.
Can you heal from trauma without therapy?
Trauma is considered to be a disconnective disorder, which means it does not typically improve in isolation. To best heal from trauma, you need to be connected to others. In this stage, you create a new sense of self and a new future which involves redefining yourself in regards to meaningful relationships.
Why is EMDR so controversial?
There are polarizing beliefs when it comes to eye movement desensitization and reprocessing (EMDR) therapy. On one end, it is viewed as a+ cure-all treatment for mental health symptoms. On the other, critics see it as a treatment akin to modern-day snake oil. The protocol for EMDR therapy is comprehensive and detailed.
Is EMDR more effective than CBT?
Eye Movement Desensitization and Reprocessing (EMDR) has been found to be a more effective form of treatment for post-traumatic stress disorder (PTSD) than Cognitive Behavioral Therapy (CBT) . A recent meta-analysis determined that EMDR is more effective for the treatment of PTSD symptoms when compared to CBT therapy.
Is EMDR actually effective?
The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety.
What is prolonged exposure?
Prolonged exposure (PE) is an effective first-line treatment for posttraumatic stress disorder (PTSD), regardless of the type of trauma, for Veterans and military personnel.
Is PE effective for PTSD?
PE is effective in reducing PTSD symptoms and has also demonstrated efficacy in reducing comorbid issues such as anger, guilt, negative health perceptions, and depression. PE has demonstrated efficacy in diagnostically complex populations and survivors of single- and multiple-incident traumas.
Stefanie T. LoSavio and John C. Moring
In response to COVID-19, mental health providers have had to quickly and creatively adapt treatment delivery, with many transitioning to telehealth. Like those in other professions, many clinicians have likely found the shift to video-based work challenging (e.g., Jiang, 2020; Skalar, 2020).
Is Treatment Effective via Telehealth?
One of the most well-studied and effective treatments for posttraumatic stress disorder (PTSD) is Cognitive Processing Therapy (CPT; Resick, Monson & Chard, 2017).
Should I Deliver Trauma-Focused Treatment during a Global Crisis?
Many practitioners may wonder if now is the “right” time to deliver trauma-focused treatment. After all, many people are facing significant stressors such as loss of employment, health concerns, and limited access to coping resources.
Can I Deliver a Structured Therapy during a Global Crisis?
The research tells us that CPT can be delivered effectively via telehealth, but, of course, adjustments will be necessary for those more accustomed to delivering care face-to-face. Some of the biggest challenges will likely be logistical, for example, how to get therapy materials back and forth with clients.
Conclusions
Practitioners are working hard to maintain continuity of care and address the emerging mental health needs of our communities. Our field is fortunate to have frontline providers who have learned evidence-based treatments and are adapting their delivery to continue to provide care.
Discussion Questions
What are your concerns about delivering evidence-based treatment during COVID-19, and how do they fit with the research data?
About the Authors
Stefanie T. LoSavio, Ph.D., ABPP is a licensed psychologist specializing in cognitive behavior therapy for PTSD. She conducts research at Duke University Medical Center and the Durham VA Health Care System and trains mental health providers in evidence-based, trauma-focused treatments. In her research, Dr.
