Essay on Exposure Therapy Compared to Other Therapies

In this scenario, the independent variable is the type of treatment and the values are the treatment groups. The dependent variables are the patient’s measurable PTSD symptoms, including frequency of dissociative reactions, recurrent distressing dreams, negative alterations in cognitions and mood, and marked alterations in arousal and reactivity (American Psychiatric Association, 2013). The demographic variables in this study are age and ethnicity. The control variables are gender, geographic location, and PTSD.

Foa and her colleagues (2011) created prolonged Exposure (PE) for clients trying to overcome with PTSD that is based on the emotional processing therapy (Foa, 2011). PE treatment plan includes collecting of information associated to both the traumatic experience and the trauma survivor's responses to it, the teaching of breathing retraining techniques, education, the re-experiencing of the trauma in imagination, and in vivo exposure (Foa, 2011). When compared with CPT, PE is a 10-session treatment (60-90 minutes) that is centered on both in-vivo and imaginal exposure to the trauma memory and ensuing adaptation. PE reports that repetitive stimulation of the trauma memory allows the clients to integrate new, counteractive information about themself and their world. Additionally, homework assignments in PE allow the client to face safe situations, which were formerly resolute to be threatening based upon inaccurate post-traumatic beliefs (Foa,

The fear of heights can sometimes leave people frozen in terror. There is large amount of evidence suggesting that virtual reality therapy has successfully helped alleviate conditions similar to PTSD. This is accomplished by slowly increasing the amount of stressors, as to not overload the patient with irrational fear. For example, with fear of heights, researchers can gradually increase the difficulty of the simulation, so that the height of the platform increases after every session. In a similar case study, 49 patients had volunteered to participate in a virtual reality treatment for their fear of flying. Results showed, “By the 6-month follow-up, 90% of treated participants had flown since completing treatment” (Anderson 2001). Effectiveness also hugely depends on plausibility and affordability. We need to consider if this treatment is convenient for

The symptoms that are being treated through this individualized treatment plan related to post traumatic stress disorder are: dissociative reactions, irritable and aggressive behavior, concentration problems, and trauma-related external reminders. The first goal is in place to assist Precious in learning to eliminate intrusive memories, a “notable feature of memory in PTSD is the reliving experiences or “flashbacks” to the trauma” (Berwin, 2003, p. 340), and addressing causes of these memories through the intervention of prolonged exposure. In addition, the second goal that is being implemented, preventing and addressing distortions, is being addressed through prolonged exposure. This technique is “a general treatment strategy for reducing anxiety that involves confronting situations, activities, thoughts, and memories that are feared and avoided even though they are not inherently harmful.” (Foa, 1998, p. 65). The flashbacks and distortions that Precious experiences are being addressed through prolonged exposure, due the fact that it

In the case of Conrad Jarrett I would envision utilizing two frontline treatment options in order to reduce the client’s symptoms of Posttraumatic Stress Disorder (PTSD). Bryant (2008) designed a treatment protocol that combines the use of cognitive restructuring and exposure therapy. Utilizing both of these therapies within structured individual sessions would allow a reduction in negative cognitions (e.g., feelings of guilt and shame) should these feelings intensify during exposure. My concern stems from the patient’s previous attempt at suicide and my desire to provide Conrad with some tools to combat his negative thoughts increasing the likelihood that he will remain unharmed and in therapy through the duration of treatment.

Treatment for Veterans with PTSD Although American service members have felt the lasting effects of combat throughout the history of the nation, it was not until 1980 that Post-Traumatic Stress Disorder was formally added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Once referred to as “irritable heart” or “shell-shock,” PTSD made its way into the national spotlight in the years following the wars in both Iraq and Afghanistan due to U.S. military members having difficulty reintegrating into civilian life. High rates of suicide, depression, and elevated levels of violent crime within the veteran community made the need to find an effective treatment of this disorder a top priority for the Veterans Health Administration. While it is widely accepted by medical professionals that there is no single, definitive cure for PTSD, many different methods have been cultivated within the past 15 years that make coping with it an easier process; some to a greater extent than others. While medications, namely antidepressants and benzodiazepines, usually find themselves at the forefront of any discussion regarding mental debilitation, they are not a one-size-fits-all solution to the problems that combat veterans face. As this particular disorder is attached to a certain memory or traumatic occurrence, alternative methods of rehabilitation such as Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) have also shown promise in

Developed by Edna Foa, prolonged exposure therapy exposes patients to their traumatic event over and over again while being in a safe place (Blankenship 277). Although prolonged exposure therapy is one treatment it has four main elements including education, breathing retraining, in vivo exposure, and imaginal exposure. Education consists of learning about the treatment, treatment symptoms, and goals of the treatment. Breathing retraining helps patients to relax and calm themselves when they become anxious. In vivo exposure allows patients with PTSD to be put in real-life situations that they are not comfortable with due to the trauma they have faced. Lastly, imaginal exposure allows the patients with post-traumatic stress disorder to talk through their traumatic event while it is recorded. After repeatedly talking through their event, the patient then listens to what they have said (Swan 28). Prolonged exposure therapy occurs over eight to fifteen sessions. Each session can range from 60 to 90 minutes depending on the patient and their specific needs (Blankenship 278). This treatment helps patients with post-traumatic stress disorder by allowing them to face their fears associated with the traumatic event and gain control over their emotions (Swan 28). Prolonged exposure therapy is proven to be a very effective therapy and is highly supported for the use of treating PTSD (Blankenship

To conclude, Kristen Walter neither confirmed nor denied if one treatment program was better than the other. She stated that both outpatient and residential programs can be beneficial to veterans with PTSD, but the treatment program that works best may depend on the severity of their symptoms. In the article “Cognitive Processing Therapy for Veterans with Posttraumatic Stress Disorder: A Comparison Between Outpatient and Residential Treatment”, Kristen Walter evaluates the treatment success in outpatient and inpatient programs for veterans with

Intervention Plan In thinking about developing an exposure-based model working with veterans who experience PTSD, I plan to use prolonged exposure therapy (PE) because it has been shown to be effective with veterans and in treating anxiety and depression. I plan to use a 15-session model that has been adapted already for use within the Department of Veteran Affairs. This model will be implemented using small groups of six. Knowing that Veterans typically have a trust issue when it comes to personal problems, it will be important that I take the time to establish a trusting therapeutic relationship. Therefore, I will initially meet with each Veteran individually and explain the group atmosphere and the basis of PE, as well as building rapport,

Cognitive Behavioral Therapy for patients with PTSD Annotated Bibliography Brian M. Tiefenbrun American Military University Abstract This annotated bibliography looked at 6 different journal articles on the effectiveness of Cognitive Behavior Therapy (CBT) in treating Post-Traumatic Stress Disorder (PTSD) versus other methods and variations of CBT. Historically speaking, it is common knowledge in the field of psychology for CBT to have a 50% success rate for patients with PTSD in that it either works or it doesn’t work, which is traceable to the patients commitment to the therapy. These articles review abstract ideas that have been ventured upon by researchers to corroborate the preconceived notions of CBT and PTSD and find a

It has been proven to have a better response rate.The Institute of Medicine recognized exposure therapies as the only treatment approach with sufficient empirical data to be deemed effective for PTSD (Institute of Medicine, 2007).While pharmacotherapy with SSRI can reduce symptoms, the most effective treatments involve understanding and overcoming avoidance behaviors (Foa & Rothbaum, 1998) Exposure therapy is a behavioral treatment for PTSD that aims to reduce your fear, anxiety and avoidance behavior by having you fully face, or be exposed to, thoughts, feelings or situations that are feared. During exposure therapy, the patient will face varying stimuli that stimulate the PTSD. This will go on until the intensity of the stimuli is

During the first session clinicians educate participants on chronic pain and PTSD. In this first session participants are asked to generate three reasonable goals they desire to achieve through therapy. Weekly goal completion is examined before each session occurs. The second session is where clinicians guide participants in making sense of the chronic pain and PTSD they have endured. The third session allows participants to discuss their thoughts and feelings towards their understanding of chronic pain and PTSD. The fourth session clinicians employ cognitive reconstructing by identifying negative thoughts and giving participants the opportunity to change these thoughts into positive ones. The fifth session involves participants learning diaphragmatic breathing and progressive muscle relaxation. The sixth session, clinicians discuss avoidance and implement interoceptive exposure. The seventh session involves participants finding pleasant activities to enjoy. The eighth session is dedicated to education on sleep hygiene. The ninth session works with veterans safety and trust issues. The tenth session is where veterans learn about their own power, control, and anger. The eleventh session works on veteran’s esteem and intimacy. The final session is reserved for relapse prevention and planning for the future. Clinicians administered a pre and post treatment assessments as follows: The Clinician Administered PTSD Scale (CAPS), PTSD Checklist

This therapy teaches individuals new ways to handle upsetting thoughts by gaining skills that can help decide an easier way to deal with the trauma. This type of therapy can be very uncomfortable for many individuals since they will be tasked to speak or write about their traumatic experiences. Prolonged Exposure Therapy is also a useful program to help manage with PTSD, this specific exposure program that has been subject if considerable research in the treatment of PTSD in which an individual is tasked with three exercises. First is “in vivo” exposure to the trauma reminder, typically as an at home exercise, second is imaginal exposure in which exposure to the memory of the traumatic event which is normally assigned with at home exercises and in therapy sessions, and lastly processing of imaginal exposure which involves psychoeducation about the nature of trauma and trauma

Symptoms were assessed with self-report measures of PTSD (PTSD Checklist) and depression (Beck Depression Inventory-II) before and throughout therapy. Mixed linear models were utilized to determine the slope of reported symptoms throughout treatment, and the effects associated with fixed factors such as site, treatment setting (residential vs. outpatient), and TBI severity were

Foa approaches the understanding and treatment of mental disorders from a cognitive-behavior. The Therapy she developed is known as Prolonged Exposure or PE. All details to the trauma are important, including not only what happened but what the patient was feeling and thinking and what sensations they experienced. Patient’s recount their experience repeatedly throughout their therapy. Patients must not only talk about the experience they must engage in the story emotionally or the treatment won’t