Author: Jon Finch

Can my patient really have PTSD after a Heart Attack?

Heart attack or myocardial infarction is a health problem that many of us are aware of and often we know some one who has survived the event. It might be hard to believe that a heart attack and PTSD could be associated. However, the research as discussed below shows that

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Smoking cannabis appears ineffective in treating PTSD

In an earlier article on this blog, cannabis use for the treatment of PTSD was discussed. Its consideration as a possible leading edge treatment was across the world media ( Australia, U.S., Canada, and the U.K. ). This  included a publication of a study in Canada  by Lake,  and associates (2019) where they stated “there

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The chicken or the egg – PTSD or MDD which to treat first

Clinicians are often faced with comorbid presentations with PTSD. Grinage (2003) reported that at least one additional psychiatric disorder is present in 88.3 percent of men and 79.0 percent of women who have a history of PTSD.  Recent research by at team from Flinders University, Angelakis and colleagues (2020) helps

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Getting traumatised clients into therapy

Jennifer Smith, Aklile Workneh and Sanni Yaya (2020) completed a systematic review of the barriers and facilitators to help-seeking for individuals with posttraumatic stress disorder. They reported on ten themes that influence help seeking. These are good food for thought for therapists. Understanding, what factors may help or hinder a

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Are symptom increases during treatment something to worry about?

Larsen and colleagues (2020) examined this question in a community sample of participants receiving CPT. Previous investigations had been primarily in randomized clinical trials. The concern with these trials has been that the participants and therapists are in some way different to the “average” community-based clinic. For example, therapists may

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Intensive PTSD treatment is it possible?

Can clients get better by having an intensive episode of care? Clients attending for 10 to 15 sessions of therapy over a two to three week period might sound counter intuitive when the problem is complex, chronic and severe PTSD for many years. Sciarrino and colleagues (2020) completed a systematic

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Managing the risk of dropout

Clinicians always like to know how to help their clients stay in therapy.  Some research has focused on demographic and pre-treatment predictors of dropout, and findings have been inconsistent. Other research has focussed on practical matters such as difficulty with scheduling appointments and these have previously been highlighted on this

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Do I need to prepare my client for trauma treatment?

Dedert and colleagues examined this question with 575 veterans seeking treatment for PTSD  in a VA outpatient clinic. They examined the association of preparatory group treatment with engagement in and treatment response to subsequent trauma-focused psychotherapies, cognitive processing therapy (CPT) and prolonged exposure therapy (PE). Nearly four hundred  (391) veterans

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PTSD and Residual Symptoms

There are a number of effective treatments for PTSD. However, some clients are left with residual symptoms even after successful treatment. This also appears to be associated with the common comorbidity of depression. These are important considerations for treatment and client quality of life. Zayfert and DeViva (2004) reported of

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