As any clinician would know Personality Disorder also means complexity and many cavets can apply during therapy. So too complexity applies to the research on comorbid PD and PTSD. Before discussing the review of the impact of comorbid personality disorders on psychotherapy for PTSD by Aishah Snoek and team (2021)
Therapists are always looking for the best treatment for their clients. The question of how do Prolonged Exposure and Cognitive Processing Therapy compare for the treatment of posttraumatic stress disorder (PTSD) was examined by a large team lead by Paula Schnurr from the National Center for PTSD (2022). The trial
Avoidance describes any action designed to prevent an uncomfortable situation or emotion from occurring. Avoidance is a primary symptom of PTSD. In many psychological models of PTSD it is believed to be a primary driver of the development and maintenance of PTSD. Avoidance can be complicated to identify. Many clients
What is the therapeutic alliance Sijercic and colleagues 2021 reported that several definitions of therapeutic alliance exist. They also outlined that most researchers agree the alliance consists of three components that were defined by Bordin, (1979): (a) an affective bond between the client and therapist, (b) mutually agreed-upon goals between
My client has returned, and their PTSD is worse, will repeating therapy help? Jeremiah Schumm and colleagues (2017) examined this question in their comparison of veterans who repeated a course of manualized, cognitive-behavioural therapy for posttraumatic stress disorder compared with veterans who do not repeat. They examined three types of
According to Woody Allen, 80 percent of success is showing up. This might also be the case for therapists wanting to improve the outcomes for clients with PTSD. Kera Swanson and colleagues (2021) investigated the influence of specific activities performed during Cognitive Processing Therapy (CPT) consultation or supervision meetings. CPT
My guess would be that most clinicians would think that trauma therapy would take a long time. This case study shows otherwise. More on that below. Why CPT in a week Previous research has shown that there are often practical barriers to attending therapy for PTSD. Browne et al.
As common sense might tell you there could be a link between trauma and attachment. This is highlighted in the literature (Cyr, et al. 2010: Tocker, et al. 2017 and Twaite & Rodriguez-Srednicki, 2004). The link between attachment insecurity and mental health difficulties is also in the literature (Mikulincer &
The first article written on this blog, was about exploring what might be the best treatment for PTSD. Five years later the conclusions are similar. Paula Schnurr, and colleagues (2022) compared prolonged exposure (PE) and cognitive processing therapy (CPT). They had a sample of 916 veterans with military-related PTSD. Participants
In clinical practice being faced with co-morbidity is a common experience, and BPD-PTSD is one of these co-morbidities. The question of what to treat first or if co-morbidities should be treated concurrently was reviewed by a team out of Ryerson University, in Canada. Richard Zeifman and his team (2021) completed