The Study between Electroconvulsive Therapy and Psychotherapy for Post-traumatic Stress Disorder
Domenica Cardoza
University of Texas Pan-American
Abstract Post-traumatic stress disorder is suffered by individuals who have experienced significantly stressful or upsetting events that has affected their everyday life, in particular individuals who have been in military combat or terroristic incidents. It is important to understand the different types of treatment that will be used in this study which are psychotherapy and electroconvulsive therapy, also known as ECT. One research states psychotherapy is underutilized for veterans suffering from PTSD, since this disorder is linked to suicide risk, reduced life quality, physical
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(McElhiney, Moody, Steif, Prudic, Devanand, Sackheim, (1995) Studies show psychotherapy is one of the most used therapies for PTSD, but it’s not as effective as other therapies might be.
One research states psychotherapy is underutilized for veterans suffering from PTSD, since this disorder is linked to suicide risk, reduced life quality, physical disabilities and even difficulty in building relationships after their trauma, there is a significant concern on what should be done about this. There were about 25% of people diagnosed with PTSD who were receiving about 4 sessions per year, and there was about 16% who were receiving 52 sessions per year. (Hundt, Mott, Cully, Smith, Grady, Teng (2014) That’s a significant difference in the treatments. Psychotherapy is said to be less effective than electroconvulsive therapy when treating post-traumatic stress disorder. Veterans suffering from PTSD have a hard time adjusting to the outside world after their traumatic event, this can consist of individuals who experienced major military events, or individuals who were in actual combat and the amount of combat experienced. The symptoms can include physical reactions, nightmares, flashbacks and extreme emotional disturbances which can lead to violent reactions, suicidal thoughts and levels of depression
Spitalnick, Josh. Difede, JoAnn. Rizzo, Albert. O. Rothbaum, Barbara. “Emerging treatments for PTSD” Clinical Psychology Review, Volume 29, Issue 8, December 2009, Pages 715-726, ISSN 0272-7358, Web. 21 April 2016
PTSD could possibly be treated with a combination of treatments that consist of pharmaco-therapy, psychotherapy, or a combination of the two. In addition, PTSD can be treated with various psychotropic medications that helps reduce the symptoms. The researchers identified the most effective evidence-based treatment are classified as trauma-focused treatments. Examples of trauma-focused treatments consist of prolonged exposure (PE) therapy, and cognitive processing therapy (CPT) ( (Mcintyre-Smith, St Cyr, & Roth, 2013, p. 197).
(1) “Post Traumatic Stress Disorder is an anxiety disorder than can develop after a person witnesses a traumatic event. A traumatic event can take many forms; a natural disaster, sexual abuse or a terrorist attack such as 9/11, but for veterans, PTSD is most often related to combat or military exposure. In wars prior to Vietnam, the disorder was referred to as “shell shock” or “battle fatigue” and was not very well understood beyond the fact that it limited the soldier’s performance on the battlefield. Today, the disorder is more widely studied. We know that Post Traumatic Stress Disorder can lead to other mental health problems such as depression, social withdrawal, and substance abuse.” This disorder is such a heavy price to pay for our soldiers. Many come home and can not function in normal society and never really get the help they need to cope with their problems. Many more soldiers suffer in silence and never even tell anyone that they may have these issues because so many of them feel they are ‘macho’ and can handle it alone, but the truth is that they simply can
Post-Traumatic Stress Disorder (PTSD) has been studied extensively. The majority of the population has experienced an event that was traumatic enough to potentially cause Post-Traumatic Stress Disorder with it also being common for most people to experience more than one event with the potential to induce Post-Traumatic Stress Disorder (Kilpatrick, Resnick, Milanak, Miller, Keyes, Friedman, 2013). Studies have shown that veterans diagnosed with Post-Traumatic Stress Disorder show an escalation in the anxiety levels that is much greater than soldiers that have not been diagnosed with PTSD as well as higher than the general fit population (Olatunji, Armstrong, Fan, & Zhao, 2014).
[When applying this type of therapy to treating a client with post traumatic stress disorder, EMDR is a reasonable choice because… ]
Post Traumatic Stress Disorder (PTSD) is defined as “a mental health condition that's triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event. (1)” This issue is most commonly associated with war veterans who have given their life to the service of the country and have suffered because of it. These men and women suffer emotional, physical, mental, and neurological trauma, which is “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury(2) ” In fact, the suicide rate of soldiers has increased since last generation, indicating that this is a very serious issue that must be understood from all perspectives. Psychologists, and those who study and help PTSD victims, including loved one of victims, must understand the neurological and spiritual elements
1 in 8 returning soldiers suffers from Post-Traumatic Stress Disorder. Soon after returning home, family members start noticing a change in the soldiers. Most are in denial about having PTSD. What they need to know is that the earlier that they can get help, the better off they’ll be. With so many suffering, where are all the treatments? Even though some soldiers would abuse the treatment provided for Post-Traumatic Stress Disorder, American Veterans need to be provided with the proper treatment for it.
I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).
With the advances in technology and military medicine, improved amounts of armed veterans are surviving the injuries they endure at war. These brave men and woman are faced to enter the civilian life after enduring the things that they cannot remove form their memories. Posttraumatic stress disorder is a common psychological and physiological consequence of deployment for combat in military veterans. For an individual to be diagnosed of PTSD, the person had to have been exposed to an intense traumatic situation, which resulted in terror or helplessness and continue to re-experience the event for at least a month (World Health Organization). It can be very difficult for a military personal to return from active duty with the mindset that
To effectively treat Post Traumatic Stress Disorder, PTSD in combat Veterans and service members, therapists use different techniques, which are preceded by addressing any underlying pain associated with the disorder. In their research, Chard et al. (2011) reported significant modifications to the CPT protocol for use with patients in a TBI-PTSD residential treatment facility, including increasing the number of sessions per week, combining group and individual therapy, and augmenting the treatment with cognitive rehabilitation. However, their research was marred with the use of few participants which provides doubts regarding the outcome of the proposed treatment procedures. Moreover, the researchers do not state with certainty as to the
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
In the United States (US) posttraumatic stress disorder (PTSD) affects 8 out of every 100 persons (United States Department of Veterans Affairs [USDVA], 2015). In which account for about 8 million people that include the military veterans (USDVA, 2015). About 10% of women and 4% of men will develop PTSD during some course of their lives (USDVA, 2015). Veterans are more susceptible to PTSD due to longer exposures to trauma, danger, or witness a violent life threaten incidence during their military service periods (USDVA, 2015). The development of PTSD becomes chronic after no longer seeing or under the “fight-or-flight“ experiences causing a psychological and/ or mental breakdown (National Institutes of Health [NIH], n.d). Such
When someone hears about Post Traumatic Stress disorder, they assume it only affects those in active duty or military veterans. However, it can affects those who have seen natural disasters, severe child abuse and horrible events. The national comorbidity survey replications did a survey on how many people in the US have PTSD they say, “(NCS-R), conducted between February 2001 and April 2003, comprised interviews of a nationally representative sample of 9,282 Americans aged 18 years and older. PTSD was assessed among 5,692 participants, using DSM-IV criteria. The NCS-R estimated the lifetime prevalence of PTSD among adult Americans to be 6.8% (1). Current past year PTSD prevalence was estimated at 3.5% (2).The lifetime prevalence of PTSD among men was 3.6% and among women was 9.7%.
Today's veterans offten return home and find themselves experiencing PTSD symptoms as a result of combat-related stress and signfigant amount of exposure to traumatic events. Post-traumatic stress disorder (PTSD) among United States Veterans has risen to great numbers in recent years due United States involvement in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) thus far within the last 10 years 1,400,000 military service members have been engaged in these conflicts. Once Unitied States troops were deployed and participated in Operation New Dawn (OND) numbers began to rise over 2.5 million troops. (Rosenthal, J. Z., Grosswald, S., Ross, R., & Rosenthal, N. 2011) The veteran population will face exclusive types of stressors
Post-traumatic stress disorder (PTSD) among veterans has been prevalent in the United States ever since the diagnosis of shell shock after World War I. PTSD continues to be prevalent in veterans from the Vietnam War, to the Gulf War, to Operation Enduring Freedom and Operation Iraqi Freedom. The estimated lifetime prevalence of PTSD among veterans during the Vietnam era was 30.9% for men and 26.9% for women (U.S. Department of Government Affairs, 2015). Based on a population study the prevalence of PTSD among previously deployed Operation Enduring Freedom and Operation Iraqi Freedom was 13.8% (U.S. Department of Government Affairs, 2015). PTSD in combat veterans can be very difficult to understand. This is widely due to the lack of research