Interpersonal Psychotherapy for Posttraumatic Stress Disorder

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Oxford University Press, Jul 21, 2016 - Interpersonal psychotherapy - 166 pages
Posttraumatic stress disorder (PTSD) is a prevalent, debilitating public health problem. Cognitive behavioral therapies (CBTs), and specifically exposure-based therapy, have long dominated PTSD treatment. Empirically supported treatments-Prolonged Exposure (PE), Cognitive Processing Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and virtual reality therapy-all have relied upon the "fear extinction model" of exposing patients to reminders of their trauma until they grow accustomed to and extinguish the fear. While exposure-based treatments work, they (like all treatments) have their limits. Many patients refuse to undergo them or drop out of treatment prematurely; others may actually worsen in such treatment; and still others simply do not benefit from them.

Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes a novel approach that has the potential to transform the psychological treatment of PTSD. Drawing on exciting new clinical research findings, this book provides a new, less threatening treatment option for the many patients and therapists who find exposure-based treatments grueling. Interpersonal Psychotherapy (IPT) for PTSD was tested in a randomized controlled trial that compared three psychotherapies. Dr. Markowitz and his group found that IPT was essentially just as effective as exposure-based Prolonged Exposure. IPT had higher response rates and lower dropout rates than did PE, particularly for patients who were also suffering from major depression. These novel findings suggest that patients need not undergo exposure to recover from PTSD. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes an exciting alternative therapy for PTSD, details the results of the study, and provides an IPT treatment manual for PTSD.

 

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Contents

1 Is Exposure Therapy Necessary to Treat PTSD?
1
PTSD
27
3 A Pocket Guide to IPT
36
4 Adapting IPT for PTSD
47
5 IPT for PTSDInitial Phase
56
6 IPT for PTSDMiddle Phase
68
7 IPT for PTSDRole Transitions
79
8 IPT for PTSDGrief
99
11 Difficult Situations and Special Circumstances
130
12 Practical Issues
138
13 Training in IPT for PTSD
142
 Where Do We Go from Here?
145
 Patient Handout for IPTPTSD
147
References
151
About the Author
159
Index
161

9 IPT for PTSDRole Disputes
106
10 IPT for PTSDTermination Phase and Maintenance
125

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About the author (2016)


John C. Markowitz, MD, is a Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons and a Research Psychiatrist at New York State Psychiatric Institute. Dr. Markowitz is an internationally recognized expert in psychotherapy research, who has conducted several NIMH- and foundation-funded studies of interpersonal psychotherapy (IPT), cognitive behavioral therapies, and medications. He has studied treatments of mood, anxiety, and personality disorders, and has published more than 300 peer-reviewed articles, chapters, and reviews.

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