Overview

More than 7 million Americans suffer from PTSD, as a consequence of physical or psychological trauma. Thankfully, today's mental health providers have developed increasingly sophisticated tools and techniques to meet this significant challenge, the most effective of which are medications and psychotherapy.

Although considerable research in recent years has focused on both approaches to PTSD treatment, few have been able to synthesize that research in a way that is concise and practical, and useful to the wide range of practitioners who treat PTSD.

In this handy clinical guide, authors Nancy Bernardy and Matt Friedman show how pharmacological approaches can be integrated with traditional psychotherapy approaches to PTSD. They present common assessment tools and strategies, synthesize implications from research on all existing pharmacologic treatments for PTSD including antidepressants, anxiolytics, and antipsychotic medications, and present clear guidelines for related conditions such as insomnia and substance abuse.

Treatment of older adults and others with complicated presentations is also emphasized.

The book is suitable for psychologists and social workers who may be unfamiliar with pharmacological approaches to PTSD, as well as psychiatrists and other medical personnel who may be less familiar with the best empirically-validated forms of psychotherapy.

Table of Contents

Contributors

Introduction
Nancy C. Bernardy and Matthew J. Friedman

I. Scientific Background and Assessment

  1. The Human Stress Response
    Matthew J. Friedman
  2. The Emerging Scientific and Clinical Literature on Resilience and Psychological First Aid
    Steven Southwick and Patricia Watson
  3. Posttraumatic Stress Disorder: Patient Interview, Clinical Assessment, and Diagnosis
    Brian P. Marx and Cassidy A. Gutner

II. Pharmacological and Psychotherapeutic Approaches

  1. Antidepressant Strategies in the Management of PTSD
    Nancy C. Bernardy and Matthew J. Friedman
  2. The Use of Anxiolytics in the Management of PTSD
    Nancy C. Bernardy, Tasha Souter, and Matthew J. Friedman
  3. Atypical Antipsychotics and Anticonvulsants in the Treatment of PTSD: Treatment Options That Include Cognitive Behavioral Therapies
    Matthew D. Jeffreys
  4. Cognitive Behavioral Therapies for PTSD
    Tara E. Galovski and Chelsea Gloth

III. Comorbid Disorders and Unique Presentations

  1. PTSD and Insomnia
    Jason C. DeViva and Bruce Capehart
  2. Co-Occurring Substance Use Disorders and PTSD
    Andrew J. Saxon and Tracy L. Simpson
  3. Treating PTSD in Older Adults
    Joan M. Cook, Ahsan Naseem, and Steven R. Thorp
  4. Challenging Presentations in PTSD
    Tonya Masino and Sonya Norman

Index

About the Editors

Editor Bios

Nancy C. Bernardy, PhD, is a biological and clinical research psychologist who has served for the past 6 years as the director of the PTSD Mentoring Program for the Executive Division of the U.S. Department of Veterans Affairs' National Center for PTSD. She also serves as an associate director for clinical networking at the center. She is an assistant professor of psychiatry at the Geisel School of Medicine at Dartmouth.

Dr. Bernardy has 20 years of experience as a clinician and researcher, with approximately 35 publications. She is a member of APA and the International Society for Traumatic Stress Studies, and she serves on numerous national research, education, and policy committees for the Department of Veterans Affairs.

Matthew J. Friedman, MD, PhD, served for 25 years as executive director of the U.S. Department of Veterans Affairs' National Center for PTSD. He recently stepped down to become a senior advisor to the center. In addition, he is a professor of psychiatry and of pharmacology and toxicology at the Geisel School of Medicine at Dartmouth. He has more than 40 years of experience as a clinician and researcher, with approximately 300 publications, including 27 books.

Dr. Friedman is a Distinguished Lifetime Fellow of the American Psychiatric Association, past president of the International Society for Traumatic Stress Studies, chair of the American Psychiatric Association's DSM–5 PTSD Work Group, and chair of the Scientific Advisory Board of the Anxiety Disorders Association of America. He has served on many national research, education, and policy committees. Past honors include the International Society for Traumatic Stress Studies Lifetime Achievement Award in 1999 and Public Advocacy Award in 2009.

Dr. Friedman was a finalist for the 2011 Samuel J. Heyman Service to America Medal.

Reviews & Awards

A useful, no-nonsense, "just the facts" book that should be welcome by clinicians as a resource.
—PsycCRITIQUES

A seminal publication that should be a part of every academic library's reference collection in general, and PTSD treatment supplemental studies reading list in particular.
Midwest Book Review