Cognitive Behaviour Therapy for Post-Traumatic Stress Disorder in a person with an Autism Spectrum Condition and Intellectual Disability: A Case Study

2016 ◽  
Vol 30 (2) ◽  
pp. 326-335 ◽  
Author(s):  
Neil Carrigan ◽  
Kate Allez
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Autism Spectrum ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Spectrum Condition ◽  
Post Traumatic

Amygdala and ventral anterior cingulate activation predicts treatment response to cognitive behaviour therapy for post-traumatic stress disorder

2007 ◽  
Vol 38 (4) ◽  
pp. 555-561 ◽  
Author(s):  
R. A. Bryant ◽  
K. Felmingham ◽  
A. Kemp ◽  
P. Das ◽  
G. Hughes ◽  
...  
Keyword(s):  
Treatment Response ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Cognitive Behaviour Therapy ◽  
Stress Disorder ◽  
Anterior Cingulate ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Post Traumatic

BackgroundAlthough cognitive behaviour therapy (CBT) is the treatment of choice for post-traumatic stress disorder (PTSD), approximately half of patients do not respond to CBT. No studies have investigated the capacity for neural responses during fear processing to predict treatment response in PTSD.MethodFunctional magnetic resonance imaging (fMRI) responses of the brain were examined in individuals with PTSD (n=14). fMRI was examined in response to fearful and neutral facial expressions presented rapidly in a backwards masking paradigm adapted for a 1.5 T scanner. Patients then received eight sessions of CBT that comprised education, imaginal and in vivo exposure, and cognitive therapy. Treatment response was assessed 6 months after therapy completion.ResultsSeven patients were treatment responders (defined as a reduction of 50% of pretreatment scores) and seven were non-responders. Poor improvement after treatment was associated with greater bilateral amygdala and ventral anterior cingulate activation in response to masked fearful faces.ConclusionsExcessive fear responses in response to fear-eliciting stimuli may be a key factor in limiting responses to CBT for PTSD. This excessive amygdala response to fear may reflect difficulty in managing anxiety reactions elicited during CBT, and this factor may limit optimal response to therapy.

Cognitive Behaviour Therapy for Post Traumatic Stress Disorder

1999 ◽  
Vol 4 (4) ◽  
pp. 177-182 ◽  
Author(s):  
Patrick Smith ◽  
Sean Perrin ◽  
William Yule
Keyword(s):  
Treatment Outcome ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Cognitive Behaviour Therapy ◽  
Stress Disorder ◽  
Outcome Studies ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Post Traumatic

It is only relatively recently that Post Traumatic Stress Disorder (PTSD) has been recognised in children. Controlled treatment outcome studies of childhood PTSD are scarce, but those that exist indicate that Cognitive Behaviour Therapy (CBT) is an effective intervention. In this article, we briefly describe PTSD in children and outline some behavioural and cognitive models of the disorder. Derived from these models, prolonged therapeutic exposure and cognitive restructuring as part of a CBT package are then described. In practice, effective therapy will include more than exposure-based work, and additional procedures, including work with parents, are highlighted. While CBT is the treatment of choice of PTSD in childhood, there is an urgent need for further treatment outcome studies.

scholarly journals Prevention of post-traumatic stress disorder: Lessons learned from a terminated RCT of prolonged exposure

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251898
Author(s):  
Maria Bragesjö ◽  
Filip K. Arnberg ◽  
Erik Andersson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Traumatic Event ◽  
Lessons Learned ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Post Traumatic

The main purpose of the current trial was to test if a brief trauma-focused cognitive-behaviour therapy protocol (prolonged exposure; PE) provided within 72 h after a traumatic event could be effective in decreasing the incidence of post-traumatic stress disorder (PTSD), thus replicating and extending the findings from an earlier trial. After a pilot study (N = 10), which indicated feasible and deliverable study procedures and interventions, we launched an RCT with a target sample size of 352 participants randomised to either three sessions of PE or non-directive support. Due to an unforeseen major reorganisation at the hospital, the RCT was discontinued after 32 included participants. In this paper, we highlight obstacles and lessons learned from our feasibility work that are relevant for preventive psychological interventions for PTSD in emergency settings. One important finding was the high degree of attrition, and only 75% and 34%, respectively, came back for the 2-month and 6-month assessments. There were also difficulties in reaching eligible patients immediately after the event. Based on our experiences, we envisage that alternative models of implementation might overcome these obstacles, for example, with remote delivery of both assessments and interventions via the internet or smartphones combined with multiple recruitment procedures. Lessons learned from this terminated RCT are discussed in depth.

Randomized controlled trial of cognitive behaviour therapy for comorbid post-traumatic stress disorder and alcohol use disorders

Addiction ◽  
2013 ◽  
Vol 108 (8) ◽  
pp. 1397-1410 ◽  
Author(s):  
Claudia Sannibale ◽  
Maree Teesson ◽  
Mark Creamer ◽  
Thiagarajan Sitharthan ◽  
Richard A. Bryant ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Controlled Trial ◽  
Alcohol Use Disorders ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Cognitive Behaviour ◽  
Post Traumatic

scholarly journals Asylum-Seekers' Experiences of Trauma-Focused Cognitive Behaviour Therapy for Post-Traumatic Stress Disorder: A Qualitative Study

2012 ◽  
Vol 41 (5) ◽  
pp. 579-593 ◽  
Author(s):  
Felicity Vincent ◽  
Helen Jenkins ◽  
Michael Larkin ◽  
Sue Clohessy
Keyword(s):  
Therapeutic Relationship ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Special Importance ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Post Traumatic

Background: Trauma-focused CBT (TFCBT) is an evidence-based treatment for post-traumatic stress disorder (PTSD), but little is known about whether it is an acceptable and effective treatment for asylum-seekers presenting with PTSD. Aims: This study considers the acceptability of TFCBT for asylum-seekers with PTSD by exploring their experiences of this treatment. Method: Seven asylum-seekers who had received CBT involving a TFCBT component were interviewed using a semi-structured schedule. The transcribed interviews were analysed using interpretative phenomenological analysis (IPA). Interpretative themes were developed iteratively to closely reflect participants’ common and distinct experiences. Results: Six super-ordinate interlinking themes are discussed: Staying where you are versus engaging in therapy; Experiences encouraging engagement in therapy; Experiences impeding engagement in therapy; Importance of the therapeutic relationship; “Losing oneself” and “Regaining life”. Conclusions: Participants described their ambivalence about engaging in TFCBT. Such treatment was experienced as very challenging, but most participants also reported finding it helpful. Various experiences that appeared to encourage or impede engagement are outlined. These preliminary findings suggest that fear of repatriation can impede engagement in TFCBT, but that some asylum-seekers with PTSD still report finding TFCBT beneficial. The clinical implications are discussed, including the special importance of the therapeutic relationship.

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