Why should you know about the freeze response? 1. The freeze response (tonic immobility) is common amongst PTSD sufferers who have been sexually assaulted 2. When tonic immobility has been present during trauma, medications may not be effective In a recent study published in Acta Obstetricia et Gynecologica Scandinavica on June 7 2017, the
USA Veterans Affairs and Department of Defence (VA/DoD) release new Evidence-based Clinical Practice Guideline (CPG) for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder https://www.healthquality.va.gov/guidelines/MH/ptsd/ Some of the guidelines, with a Cognitive Processing Therapy perspective: Recommendation 11. emphasises trauma focus and structure in the treatment of PTSD. Recommendation 36. is interesting, Cognitive Processing
In their 2016 review Psychotherapy Versus Pharmacotherapy for Posttraumatic Stress Disorder: Systemic Review and Meta-Analyses to Determine First-Line Treatments, Lee and colleagues concluded that their study findings supported use of trauma-focused psychotherapies over nontrauma-focused psychotherapy or medication as first-line interventions.
Recently at The American Society of Clinical Psychopharmacology (ASCP) 2017 Annual Meeting Lori L. Davis, MD, of the VA’s PTSD Psychopharmacology Working Group reported “that the updated guideline is going to read that we ‘recommend’ – which is the highest level of recommendation – that evidence-based, trauma-focused psychotherapy be offered over other treatments for PTSD,”.
But which is the best trauma focused psychotherapy? The one your client chooses, as patient preference has been found to influence PTSD Treatment Adherence
Trauma Focused Therapies include:
- Prolonged exposure (PE)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Cognitive Processing Therapy (CPT)