Effective Therapies for PTSD Underutilized
New clinical research suggests most people with post-traumatic stress disorder (PTSD) fail to receive evidence-based psychotherapy interventions.
Experts report that PTSD affects nearly 8 million adults in any given year.
Fortunately, clinical research has identified certain psychological interventions that can significantly help to reduce PTSD symptoms.
However, a new report published in Psychological Science in the Public Interest suggests that most people struggling with PTSD fail to receive those treatments.
The report is authored by Edna Foa, Ph.D., a PTSD expert at the University of Pennsylvania, and a team of distinguished psychological scientists who reviewed studies describing interventions that can effectively treat post-traumatic stress disorder.
Foa pioneered the use of prolonged exposure therapy (PE), in which patients approach — in both imaginary and real-life settings — situations, places, and people they have been avoiding.
The repeated exposure to the perceived threat disconfirms individuals’ expectations of experiencing harm and, over time, leads to a reduction in their fear.
Over years of testing, PE and other forms of cognitive-behavioral therapy have proved highly effective in addressing the distress and dysfunction that trauma victims experience.
However, the majority of mental health professionals do not use such evidence-based treatments when working with patients suffering from PTSD, the researchers write.
Many clinicians believe that the best psychotherapy should be individualized and should focus on the underlying causes of one’s problems and symptoms. But studies show scant evidence that such psychodynamic therapy — which focuses on such issues as difficult childhood relationship with parents — effectively eases PTSD symptoms, according to the report.
Foa and her colleagues say their findings are important given that traumatic events such as natural disasters, terrorist attacks, and gun violence are on the rise.
For example, more than 273,000 Iraq and Afghanistan war veterans have sought treatment for post-traumatic stress disorder over the past decade, the U.S. Department of Veterans Affairs reports.
Researchers at Harvard Medical School found that at least one-third of residents in the path of Hurricane Katrina suffered some form of post-traumatic stress after the 2005 storm.
And in the two months following last year’s tragic mass shooting at Sandy Hook Elementary School in Connecticut, more than 16 percent of Newtown, Connecticut’s police force had missed work because of PTSD-related issues, according to news reports.
“Not counting traumatic events that are experienced by individuals as opposed to entire populations, the number of people who need help for their PTSD and related symptoms is mind-boggling,” Foa and her co-authors write.
“Thus PTSD treatment researchers are acutely aware of the tremendous need to disseminate effective treatments widely such that patients have access to them, and are also aware of the challenges to successfully meet this need.”
Nauert PhD, R. (2013). Effective Therapies for PTSD Underutilized. Psych Central. Retrieved on May 29, 2015, from http://psychcentral.com/news/2013/04/15/effective-therapies-for-ptsd-underutilized/53764.html