Day # 110: Review Quiz-> PTSD part 2

Today will be our final review quiz for the trauma and stressor disorders theme. Take a few minutes and check your learning.

1) Which of the following is considered first-line for the primary treatment of PTSD?

a) Sertraline

b) Image Rehearsal Therapy (IRT)

c) Cognitive Processing Therapy (CPT)

d) Prazosin

2) Which of the following antidepressants is NOT considered first-line for pharmacological treatment of PTSD?

a) Citalopram

b) Fluoxetine

c) Paroxetine

d) Sertraline

e) Venlafaxine

3) Which of the following forms of psychotherapy is considered trauma-focused (i.e. has a primary component of exposure and/or cognitive restructuring)?

a) Psychodynamic psychotherapy

b) Interpersonal psychotherapy

c) Stimulus control therapy

d) Brief eclectic psychotherapy

===========================

ANSWERS

Question 1:

From day #108

Answer: c

Cognitive Processing Therapy (CPT)

Explanation:

Recommendations For Treatment of PTSD

• Use trauma-focused psychotherapy as first-line treatment for PTSD.

• Strong evidence for therapies that have a primary component of exposure and/or cognitive restructuring. This includes:

  • Prolonged Exposure (PE)

  • Cognitive Processing Therapy (CPT)

  • Eye Movement Desensitization and Reprocessing (EMDR)

  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

  • Narrative Exposure Therapy (NET)

  • Written Exposure Therapy (WET)

  • Brief Eclectic Psychotherapy (BEP)

• Trauma-focused therapy is recommended over other pharmacological and non-pharmacologic interventions for the primary treatment of PTSD.

• When trauma-focused psychotherapy is not available or not preferred by the patient, then medications or non-trauma focused psychotherapy is recommended.

Question 2:

From day #109

Answer: a

Citalopram

Explanation:

First-line Medication Options For PTSD 1, 2, 3

• Selective Serotonin Reuptake Inhibitors (SSRIs) and Venlafaxine (an SNRI) have the best efficacy and tolerability.

• SSRIs: the preferred SSRIs in PTSD are sertraline, fluoxetine, or paroxetine. Like anxiety disorders, it typically requires high doses. There is weak evidence to recommend against citalopram. There is insufficient evidence to recommend for or against escitalopram, although it is commonly used.

• SNRIs: venlafaxine is also considered a first-line option. There is insufficient evidence to recommend for or against duloxetine, however two small open studies suggest efficacy.

Question 3:

From day #108

Answer: d

Brief Eclectic Therapy (BEP)

Explanation:

Trauma-Focused Therapies

• The trauma-focused therapies with the strongest evidence from clinical trials include:

  • Prolonged Exposure (PE)

  • Cognitive Processing Therapy (CPT)

  • Eye Movement Desensitization and Reprocessing (EMDR)

• Other trauma-focused protocols with sufficient evidence to recommend include:

  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

  • Narrative Exposure Therapy (NET)

  • Written Exposure Therapy (WET)

  • Brief Eclectic Psychotherapy (BEP)

• There are also other psychotherapies that meet the definition of trauma-focused treatment for which there is currently insufficient evidence to recommend for or against their use.

• Other modalities sometimes used (not trauma-focused) include supportive therapy, psychodynamic therapy, and couples/family therapy.

Brief Eclectic Therapy (BEP) 4

• Typically 16 sessions

• BEP incorporates many elements found in TF-CBT, but also incorporates a psychodynamic approach with an emphasis on the emotions of shame and guilt and the relationship between patient and therapist. An important goal is to explore the meaning of the event.

• Core components include:

  • Psychoeducation about PTSD

  • Imaginal exposure

  • Cognitive restructuring

  • Ritualistic farewell

===========================

CONCLUSION

Nice work. If you want to see all of the weekly quizzes you can see them here. We are now finished with PTSD. Next up we will cover the next theme which is dissociative disorders.

If you are looking for more reading materials then check out our recommended resources.