Psychosomatic Medicine and General Practice 2519-8572 Private Publisher 'Chaban O. S.' 27 Psychotherapy Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder Травмофокусована когнітивно-поведінкова терапія для посттравматичного стресового розладу Müller Julia 1 Psychiatric Clinic, Psychiatric Services of Thurgovia Münsterlingen Switzerland 14 4 2017 2 2 020227 © 2017, Müller J. 2017 Müller J. This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited. Abstract

Posttraumatic Stress Disorder (PTSD) is a widespread condition, that affects near 20% of individuals, exposed to traumatic event. Moreover, recent studies suggest, that it has a tendency for chronic course and is associated with increased risk of cardiovascular events. According to clinical guidelines as first line therapy for PTSD trauma-focused cognitive-behavioral therapy or eye movement desensitization and reprocessing therapy must be used. In this educational course are presented highlights of 2-day trauma-focused cognitive therapy training, including PTSD symptoms, overall CBT methods overview, theoretical and practical implications.

Анотація

Посттравматичний стресовий розлад (ПТСР) є розповсюдженим станом, на який страждають 20% осіб, що пережили травматичну подію. Крім того, згідно із результатами нещодавніх досліджень цей має тенденцію до хронізації перебігу та асоційований із збільшенням ризику негативних кардіоваскулярних подій. Згідно із клінічними настановами до терапії першої лінії слід відносити травмофокусовану когнітивно-поведінкову терапію та десенсибілізацію і переробку травми рухами очей. В цьому освітньому курсі представлені ключові моменти 2-денного тренінгу по травмофокусованій когнітивно-поведінковій терапії, включає огляд діагностичних критеріїв, основних методів КПТ, технік та їх практичне використання.

Keywords CBT PTSD cognitive-behavioral therapy trauma-focused trauma posttraumatic stress disorder exposure therapy cognitive restructuring imaginal IRRT Introduction. PTSD diagnosis

Introduction. Diagnostic criteria and PTSD prevalence. Traumatic events types and risk of PTSD. Association between traumatic events number, intensity and PTSD risk development. Differences between ICD-10, DSM-IV and DSM-5 diagnostic criteria. Clinical case example. PTSD spontaneously vs. therapy remission rates. Types of psychological interventions depending on the time elapse since the traumatic events. Is there a need in Debriefing (video 1)?

 Low intensity psychological interventions. Start of therapy

Low intensity psychological interventions after the trauma. Normalization process. When to start psychotherapeutic interventions? Clinical case example. Effectiveness of different PTSD-treatments, their theoretical basis overview. Is there a place for psychopharmacotherapy in PTSD? Similar components of different CBT strategies. Contraindication for trauma-focused psychotherapy. Therapeutic relashionships (video 2).

 Behavioral interventions

Prolonged Exposure Therapy for PTSD (Edna B. Foa). Narrative Exposure Therapy (Schauer M., Neuner F. & Elbert T.). Exposure therapy technics examples: imaginal exposure, facilitate fear exposure, etc. Clinical case example, practice (video 3).

 Cognitive interventions

Situations often avoided after interpersonal traumatization. In vivo exposure technic. Exposure effectiveness in PTSD. Why isn’t exposure successful in all PTSD patients? Cognitive restructuring. Cognitive strategies. Combining exposure and cognitive technics, hotspots. Typical posstraumatic interpretations and automatic thoughts. Managing guilt. Clinical case example. Imagery rescripting and reprocessing therapy. Imaginal exposure, mastery imagery, nurturing imagery. Variations in IRRT (video 4).

 Competing interests

The author declare that no competing interests exist.