The Carlat Psychiatry Podcast PTSD 101: Therapy and Prevention
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Sep 9, 2024 Dive into effective therapies for PTSD, including trauma-focused cognitive behavioral therapy and EMDR. Explore innovative non-exposure-based methods that address current life challenges, especially for veterans. Learn about the importance of early intervention and practical strategies like mindfulness and sleep hygiene. Discover how to navigate the healing process with community support, enjoyable activities, and coping techniques. Plus, get a glimpse of future discussions on medication options!
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Psychotherapy Is First-Line
- Psychotherapy is first-line for PTSD because it works better and lasts longer than medications.
- Clinical trials show outcomes improve when patients receive their preferred treatment.
Mechanics Of Trauma-Focused CBT
- Trauma-focused CBT uses prolonged, structured exposure to help patients re-experience and reprocess trauma safely.
- Sessions pair exposure with calming techniques and emphasize patient control to avoid flooding.
How EMDR Compares To CBT
- EMDR pairs in-session exposure with bilateral stimulation like side-to-side eye movements or tapping.
- EMDR is as effective as CBT and widely recommended, though the necessity of eye movements is debated.