Cognitive-Behavioral Therapy Emphasizing Prolonged Exposure | Hypnosis for Posttraumatic Stress Disorder | Psychodynamic Treatment for Posttraumatic Stress Disorder | Group and Family Treatment for Posttraumatic Stress Disorder | Summary and Conclusions Regarding Psychosocial Treatments for Posttraumatic Stress Disorder
More than 25 controlled trials of CBT including prolonged
exposure have demonstrated that this approach is highly effective
in ameliorating PTSD symptoms and related psychiatric problems.
Arising from an experimental background, cognitive-behavioral interventions
typically have been subjected to rigorous testing and traditionally
involve repeated assessments of target symptoms, comparison groups,
and well-delineated and replicable procedures. CBT for PTSD involves
a combination of education about the normal course of stress response,
relaxation and anxiety management techniques, cognitive therapy
to address pathogenic beliefs, imaginal and in vivo exposure to
trauma-related stimuli, and relapse prevention. This method is predicated
on facilitating fear extinction both through repeated exposure in the
absence of real threat, leading to new learning that counters fear
conditioning, and through cognitive and somatic management of response
to reminders of the trauma.