Prolonged Exposure Therapy for Post Traumatic Stress Disorders

The first method of treatment is trauma-focused cognitive-behavioural therapy. In this method, a patient is gradually but carefully exposed to feelings, thoughts, and situations that trigger memories of the trauma. By identifying the thoughts that make the patient remember the traumatic event, thoughts that had been irrational or distorted are replaced with a balanced picture. Another productive method is family therapy since the family of the patient is also affected by PTSD. Family therapy is aimed at helping those close to the patient understand what he/she is going through. This understanding will help in the establishment of appropriate communication and ways of curbing problems resulting from the symptoms (Smith & Segal, 2011).

Posttraumatic stress disorder can occur after someone experiences a traumatic event. Once the mind hits the coping threshold, it is imperative to seek professional help. The VA offers evidence-based treatments, individual, group treatments, and medications. Coping mechanisms range from individual to individual, hence the need for a diverse PTSD program. Under the evidence-based treatment there are two sections: prolonged exposure therapy and cognitive processing therapy. Prolonged exposure therapy is when someone continues to talk about their fears/trauma to gain control of feelings associated with those fears. The cognitive processing therapy is to understand the feelings associated with trauma and finding a way to replace negative feelings with positive

Traumatic events also produce profound and lasting changes in physiological arousal, emotion, cognition, and memory. Moreover, traumatic events may result in the severance of these normally integrated functions from one another. Traumatized individuals may also suffer from the memories of the tragic or horrifying experiences they have undergone. Frequently, as a result of these many symptoms, it becomes inevitable for the individual to develop certain complications associated with trauma-related disorders, such as posttraumatic stress disorder.

Long Term Treatment goals: Lower the negative effect that the traumatic event has had, and return to pre-trauma level of functioning.Recall the traumatic event without becoming overtaken with negative emotions.Stop destructive behaviors that serve to maintain escape and denial, and implement behaviors that promote healing, acceptance of the past events, and responsible

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,

Post-Traumatic stress disorder, commonly known as PTSD, is on a rise in our country and expected to rise more in the coming years (Iribarren, Prolo, Neagos, & Chiappelli, 2005). PTSD is a psychiatric disorder than can result from the experience or witnessing of traumatic or life-threatening events (Iribarren, Prolo, Neagos, & Chiappelli, 2005). According to the Evidence based article examples of PTSD are terrorist attack, violent crime and abuse, military combat, natural disasters, serious accidents or violent personal assaults (Iribarren, Prolo, Neagos, & Chiappelli, 2005). PTSD has also been liked to possible exposure to environmental toxins such as Agent Orange or electromagnetic radiation (Iribarren, Prolo, Neagos, & Chiappelli, 2005).

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

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

The fast paced, often demanding world of life in the military, and the experiences of combat and death, create situations in which many veterans experience psychological stress. These stressful situations are typically complicated further by the self-medication of substance use, and other psychological disorders that may be present. There is a large number of military personnel that are facing stressful issues such as homelessness, suicide, and substance abuse, which could lead to them getting involved with the criminal justice system. There is approximately 18.5% of service members returning from Iraq or Afghanistan that suffer from post-traumatic stress disorder or depression, and about 19.5% of military personnel report experiencing a traumatic brain injury during their deployment in the middle east (Veterans and Military Families, 2014).

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

This literature review briefly examines the scholarly journal articles and research cited above. The aim of these articles were to identify the effective intervention methods used for the treatment of co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Although there is much evidence to support the high rate of individuals who experience symptoms of or are diagnosed with both PTSD and a SUD, there is little known about the comorbidity of these two disorders. There is also little research focused on specific populations, such as veterans, who experience a high rate of SUD diagnoses generally associated with combat PTSD. The literature also describes possible rationale for the high rate of

Post-traumatic-stress-disorder (PTSD) is part of many veteran’s lives in the U.S. today. PTSD is a serious mental and emotional disorder that people often don’t understand or don’t know about. It’s defined as a mental illness that develops after a person has lived through a traumatizing event, such as sexual assault, physical abuse, threat of death, or serious injury. Most people who experience a distressing event don’t develop PTSD, but for those who do, it’s extremely terrifying to go through.

Imaginal exposure has gained a great deal of attention as the treatment for chronic Post Traumatic Stress Disorder (PTSD). It involves telling someone about the event time and time again, reliving the traumatic experience. Combat veterans were the first to use the imaginal exposure therapy, and then treated with termed imaginal flooding. For the fear of “retraumatizing” victims and increasing their suffering, trauma experts have been hesitant to use imaginal exposure. The article talks about a present study where symptom exacerbation was examined in 76 women with chronic PTSD (Foa 1022). In the study, there were 64 treatment completers and 12 treatment dropouts (Foa 1025). Imaginal exposure in the Prolonged Exposure (PE)/Cognitive Restructuring

The therapists that were used were a nurse therapist and a clinical psychologist. In sessions 1 through 5 of Exposure Therapy subjects were asked to imagine their previous trauma memories. Patients were asked to talk in first person tense about what they experienced, and then were asked to imagine and describe critical aspects of the trauma and "rewind and hold"

Prolonged Exposure therapy focuses on repeating exposure to the trauma. This method also focuses on the beliefs about the stimulus that don’t represent the world accurately. These meetings tend to occur for about ninety minutes, typically last between 9-15 sessions, and have four main sections. An example of this would be if you are scared of a spider you would continue to show your client a spider and eventually get them to hold the spider in their hand. This is called imaginal exposure. Prolonged exposure also has in vivo exposure, where the client confronts the stimuli in a safe setting. (from website) Usually the clients use escape and avoidance responses from harmeless stimuli. These responses begin to interfere with their behaviour. Quiet